Provider Relations Representative I

Job Summary

A company is looking for a Provider Relations Representative I.

Key Responsibilities:

• Initiates phone calls to customers to confirm receipt of mailings and request action
• Provides timely response and resolution for all provider initiated inquiries
• Reviews and analyzes documentation and claim data to determine validity and proper action

Required Qualifications:

• High school diploma, GED, or equivalent work experience
• 2+ years' experience as an examiner/processor with exposure to medical terminology and claim processing experience in Commercial Insurance or Government Programs
• 2+ years previous experience in a claims customer service environment OR 2+ years of answering inbound calls regarding claims processing
• Ability to work proficiently with Microsoft Word
• Ability to multi-task and prioritize