Provider Service Representative

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

 Position Purpose: 

Responsible for resolving provider inquiries via telephone and email correspondence in a timely and appropriate manner. Provider inquiries including claims, eligibility, covered benefits, authorization status issues

• Document all activities for reporting and resolution through the customer relationship management application (CRM)
• Answer inquiries from providers regarding claim, eligibility, covered benefits, authorization status issues
• Provide first call resolution through issue documentation and resolution with appropriate internal resource, follow-up and ensure closure with the contact who initiated the inquiry
• Respond appropriately to provider issues and concerns, and provide trending feedback to improve the customer experience
• Process customer correspondence and provide the appropriate level of timely follow up
• Manage service related follow up items and outstanding tasks in accordance with established turnaround times
• Provide assistance to provider regarding website registration, navigation and customer related inquires-Educate provider on health plan initiatives during interactions with providers via telephone
• Maintain performance and quality standards based on established call experience guidelines
• Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations’ team for claim adjustment
• Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reduction

• Healthcare Experience at least I year
• HS Diploma or equivalent – Put education on resume
• 2+ years of experience in healthcare or insurance customer service

Advantages of this Opportunity: 

• Competitive salary

• Fun and positive work environment

• Long Term Contract Assisgnment

• Can start on 7/13

Interested in being Considered? 

If you are interested in applying to this position, APPLY NOW to Lovely Loriezo of Healthcare Support.