Provider Relations Representative I

Job is Expired
Location: Nationwide
Compensation: Hourly
Staff Reviewed: Tue, Sep 26, 2023

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

COMPLETE JOB DESCRIPTION

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