Provider Services Representative jobs in the United States

Provider Services Representative I
  • Integrated Resources, Inc ( IRI )
  • Florida, NY FULL_TIME
  • Job Description: 100% remote

    M-F 8-5 pm EST

    • this is the last remaining opening from 57320- please do not resubmit duplicate candidates***

    potential for temp to perm

    Job Description:

    Provides customer support and stellar service to meet the needs of our Client providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Client values in their actions.

    Provides product and service information and identifies opportunities to improve provider experiences.

    This role requires flexibility to leverage one or more areas of expertise. In our fast-paced environment, your assigned projects/tasks may change day to day.

    Must Have Skills:

    Customer Service experience in a fast-paced high-volume environment

    Self-starter, with excellent time-management, and organizational skills

    Knowledge of Medicaid and Medicare insurance policies, and regulatory guidelines. Claims knowledge preferred!

    Preferred Systems Experience:

    • Microsoft Office
    • Salesforce
    • QNXT
    • Pega

    Day to Day Responsibilities:

    Provide service support to internal stakeholders and external provider partners using one or more communication channels to include, but not limited to, phone, chat, and email supporting our Medicaid and Medicare business.

    Aptitude to listen attentively and accurately document pertinent details related to Provider inquiries.

    Ability to work regularly scheduled shifts within our hours of operation.

    Able to proactively engage and collaborate with various Internal/ External departments.

    Personal responsibility and accountability by taking ownership of providing resolutions in real time or timely follow up with the Provider.

    Ability to effectively communicate in a professional setting.

    Required Years of Experience:

    1 Year Of Provider Engagement Experience Preferred

    3 – 5 years of Customer Service support

    Required Licensure / Education: HS DIPLOMA or GED

    Comments for Suppliers:

    What IT equipment will be required for the resource(s)? (i.e., monitors, headset, etc.) laptop, 1 Monitor, keyboard, headset, and mouse

    • this is the last remaining opening from 57320- please do not resubmit duplicate candidates***
  • Just Posted

Provider Services Representative
  • Health Network Solutions, Inc. (HNS)
  • Cornelius, NC FULL_TIME
  • Overview: This position is responsible for the full range of provider relations and service interactions within HNS, including, but not limited to, researching and responding to providers’ requests fo...
  • 1 Day Ago

Member and Provider Services Representative
  • Group Health Cooperative of Eau Claire
  • Altoona, WI FULL_TIME
  • Position Purpose The Member and Provider Service Representative provides exceptional customer service and accurate information to Cooperative members and providers. Essential Position Functions Answer...
  • 2 Days Ago

Provider Services - Provider Services Representative 115-1005
  • CommunityCare
  • Tulsa, OK FULL_TIME
  • JOB SUMMARY: Primarily responsible for contracting, orientation and ongoing education of physicians, physician office staffs, hospitals and other providers regarding the policies and procedures of Com...
  • 18 Days Ago

THSteps Provider Relations Representative
  • Dept of State Health Services
  • San Angelo, TX FULL_TIME
  • Under the direct supervision of Program Supervisor and overall direction of the Program Manager, performs moderately complex (journey-level) consultative services and technical assistance to program s...
  • Just Posted

Provider Relations Representative
  • Volunteers of America National Services
  • Eckert, CO FULL_TIME
  • Volunteers of America National Services- PACE is seeking a Provider Relations Representative to service our Colorado Service Area which includes two sites in Eckert and Montrose, CO. Schedule: M-F 8:3...
  • 1 Month Ago

Customer Service Rep
  • Savistarcm
  • Arlington, VA
  • Customer Service Rep page is loaded **Customer Service Rep** locationsArlington, Virginia time typeFull time posted onPo...
  • 7/25/2024 12:00:00 AM

Customer Service Rep
  • Coastal Solutions
  • Chantilly, VA
  • Calling All Superheroes! Are you ready to unleash your incredible customer service powers for the greater good? We're on...
  • 7/24/2024 12:00:00 AM

customer service rep
  • Uhaul
  • Laurel, MD
  • Are you an enthusiastic, highly motivated person that would love to start your career in the retail industry with U-Haul...
  • 7/23/2024 12:00:00 AM

Customer Service Rep
  • Uhaul
  • Suitland, MD
  • Location: 3710 St Barnabus Rd, Suitland, Maryland 20746 United States of America. Are you an enthusiastic, highly motiva...
  • 7/23/2024 12:00:00 AM

Customer Service Rep
  • HomeServe USA Corp.
  • Fairfax, VA
  • ** Customer Service Rep** **Job Category****:** Cropp **Requisition Number****:** CUSTO005024 Showing 1 location **Job D...
  • 7/23/2024 12:00:00 AM

Client Service Rep
  • SF Staffing Solutions
  • Chantilly, VA
  • Handle all customer contact received by telephone, in writing, and in person. Troubleshoot inquiries. Follow-up with cus...
  • 7/23/2024 12:00:00 AM

Loan Servicing Rep I
  • Tower
  • Laurel, MD
  • $1000 Signing Bonus effective 1/20/2023 Note:All full-time positions include the option of $0 out-of-pocket premium cost...
  • 7/23/2024 12:00:00 AM

Customer Service Representative
  • The Specialty Companies
  • Charles Town, WV
  • We are looking for a Rockstar Customer Service Rep who loves to be organized! You know who you are! This person provides...
  • 7/21/2024 12:00:00 AM

Income Estimation for Provider Services Representative jobs
$35,942 to $43,623