Provider Relations Representative

Job Summary

To support a growing claims team, the full-time remote Provider Relations Representative will manage provider inquiries regarding benefits verification and claims status while delivering exceptional customer service and assisting with various administrative tasks.

Key responsibilities:

• Answer incoming calls and tickets related to eligibility, benefits, claims, and authorization of services from providers
• Document customer interactions and inquiries accurately while resolving issues on the first call whenever possible
• Educate providers on claims submission processes and perform follow-up tasks to ensure their needs are met

Required qualifications:

• High School Diploma or GED
• 1 year of work experience in a healthcare setting
• Typing speed of at least 45 words per minute
• Proficiency in Microsoft Office, particularly Excel and Word
• Basic understanding of financial accounting or accounts receivable functions