Provider Services Representative II

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Provider Services Representative II 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 II 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 II 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 II occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Provider Services Representative II typically requires 2-4 years of related experience.