Also referred to as: Healthcare Provider Services Representative I, Provider Network Services Representative I
Requirements and Responsibilities

Provider Services Representative I is responsible for providing customer service to healthcare providers within a network. Responds to provider inquiries regarding benefits, claims, and services. Being a Provider Services Representative I documents, summarizes, and reports causes of provider inquiries and issues to identify areas for service improvement. Provides written documents and resources to inform, update, and support the network of healthcare providers. Additionally, Provider Services Representative I ensures inquiries are responded to timely and in alignment with organizational procedures and standards. Requires a bachelor's degree. Typically reports to a manager. The Provider Services Representative I work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Provider Services Representative I typically requires 0-2 years of related experience.

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