Provider Service Specialist - Remote Seasonal

Overview

The Provider Service Specialist position is a full-time remote role that involves responding to provider inquiries regarding Medicare Advantage plan benefits and services. This temporary position runs from August 10, 2025, to April 4, 2026.

In Short

• Full-time remote position for a Provider Service Specialist.
• Temporary employment from August 10, 2025, to April 4, 2026.
• Respond to provider inquiries via phone, in person, and in writing.
• Document and code inquiries within designated software applications.
• Review and investigate claims status and payment determinations.
• Maintain knowledge of plan benefits and services.
• Use departmental software effectively.
• Responsible for both incoming and outgoing provider phone initiatives.
• Requires 2-3 years of customer service experience.
• Managed care industry knowledge preferred.

Requirements

• High school diploma or equivalent required.
• 2-3 years of prior customer service experience.
• Managed care industry knowledge or experience preferred.
• Ability to work independently and as part of a team.
• Knowledge of medical terminology, CPT, and ICD9 coding.
• Proficient in data entry and various claim form formats.

Benefits

• Opportunity to work with a not-for-profit Medicare Advantage insurance plan.
• Be part of a dedicated team serving seniors and Medicare beneficiaries.
• Engage in a rewarding career making a difference in healthcare.
• Supportive work environment with a commitment to diversity and inclusion.