Provider Services Representative - Remote

Overview

We are seeking a dedicated and detail-oriented Provider Services Representative to support our provider network by resolving inquiries related to claims, payments, system access, and policies.

In Short

• Respond to high-volume provider inquiries with professional communication.
• Investigate and resolve claim status and payment discrepancies.
• Document provider interactions in CRM platforms.
• Help providers navigate claims processes and documentation requirements.
• Participate in training on systems and compliance requirements.
• Ensure compliance with HIPAA and internal standards.

Requirements

• High school diploma or equivalent required.
• 2+ years of experience in healthcare or insurance.
• Understanding of Medicare, Medicaid, and PACE programs.
• Working knowledge of medical claims processing.
• Proficiency with CRM or ticketing systems.
• Strong verbal and written communication skills.
• Analytical and problem-solving skills.
• Familiarity with HIPAA standards.

Benefits

• Virtual-first culture with a collaborative team.
• Competitive health benefits.
• 401(k) with company contribution.
• Generous paid time off.
• Flexibility in managing schedules.
• Opportunities for learning and professional development.