Provider Education Specialist

Job Summary

Provider Education Specialist is a full-time position responsible for educating healthcare providers about services and products, managing provider relationships, and resolving claims issues.

Key Responsibilities

• Educate providers on administration services and billing processes
• Develop and maintain relationships with large provider groups nationally
• Serve as a primary contact for provider escalations and claims resolution

Required Qualifications

• H.S. Diploma or General Education Degree (GED) required
• 3-4 years experience in provider call center, provider relations, or provider networks required
• 3-4 years experience in healthcare or the workers' compensation field required
• Working knowledge of medical or workers' compensation billing and claims processing
• Knowledge of Medicare and/or Medicare Set Aside Accounts