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US

  • Manage multiple channel interactions professionally and efficiently.
  • Address provider inquiries with accuracy and focus on first call resolution.
  • Maintain positive relationships and exceed quality and productivity goals.

Customer Service Communication Microsoft Office Suite Policy Interpretation

20 jobs similar to Provider Services Representative

Jobs ranked by similarity.

US

  • Respond to member and provider inquiries about Medicare benefits, claims, and enrollment via phone and email.
  • Analyze issues, document outcomes, and maintain accurate records in internal systems.
  • Collaborate across departments to resolve service issues and support contact center documentation.

Curana Health provides value-based primary care services for the senior living industry, including skilled nursing facilities and assisted living communities. With over 1,000 clinicians serving more than 1,500 communities across 34 states, the company has experienced rapid growth since 2021 and participates in innovative CMS programs.

US 3w PTO

  • Acts as the first point of contact for customer requests related to commercial audits and workers' compensation policies.
  • Establishes and maintains professional relationships with external and internal customers.
  • Completes research, coordinates with departments, and documents transactions accurately.

Liberty Mutual provides insurance and related services, including premium audit and workers' compensation support. The company is a large, global insurer with a culture that values inclusion, support, and professional development.

$55,000–$75,000/yr
US

  • Handle inbound and outbound member and provider inquiries via phone, email, and chat with professionalism and empathy.
  • Provide accurate information on benefits, eligibility, claims, prior authorization, billing, and provider portal support.
  • Collaborate with internal teams to resolve complex cases, identify process improvements, and meet performance goals.

XO Health is the first health plan designed by and for self-insured employers, delivering a unified health experience for members, providers, and payers. We are growing a multi-disciplinary team of diverse and digitally empowered employees committed to rebuilding trust in healthcare through transformation.

  • Provide superior customer service by handling inquiries and issues promptly and professionally using multiple systems.
  • Ensure first contact resolution and high customer satisfaction while maintaining adherence to defined operational standards.
  • Assist with daily call volume, meet quality assurance requirements, and perform all other duties as assigned.

Globe Life is an insurance company committed to empowering employees with support and opportunities. They foster a caring, innovative culture with a focus on inclusivity and growth.

$35,000–$40,000/yr
US

  • Provide support to participants and clients regarding eligibility, benefits, claims, and general plan inquiries via phone and email.
  • Document all customer interactions accurately in the call tracking system and navigate multiple systems to assist customers.
  • Maintain confidentiality in accordance with HIPAA standards and contribute to a positive, team-oriented environment.

Point C is a National third-party administrator that delivers customized self-funded benefit programs. They are a mission-driven company focused on innovative cost containment strategies.

US

  • Conduct educational telephone calls to advise members of benefits, complete health needs assessments, and refer to population health management programs.
  • Reach out to members with gaps in care, encourage compliance, and assist with locating providers and scheduling appointments.
  • Manage system work queues, screen members for eligibility and history, and assign to clinical teams for intervention.

BlueCross BlueShield of Tennessee is the state's largest health benefit plan company, helping Tennesseans find paths to good health since 1945. They are a remote-first organization with many employees working from home, fostering a culture of innovation and collaboration.

US

  • Provide daily phone coverage for the Notice of Loss 800 number and set up claim first notices.
  • Keep accurate records of customer interactions and provide timely answers to routine claim inquiries.
  • Serve as a customer advocate and embrace Pete's Principles to deliver outstanding customer experience.

Travel Insured International is a leading travel insurance provider with more than 30 years in business, offering travel protection plans to consumers and agency partners. As part of Crum & Forster's Specialty Business Unit, the company fosters a dynamic, ambitious, and inclusive work environment focused on career development and community support.

$17–$17/hr
US

  • Respond to member calls and emails, providing clear information about benefits, costs, and coverage options.
  • Investigate and resolve benefit-related issues by researching plan details and identifying solutions.
  • Maintain accurate documentation of interactions and case outcomes using internal systems.

US

  • Engage with members via phone, email, and live chat to answer questions and provide excellent service.
  • Assist participants in qualifying for and selecting the right health or wellness programs.
  • Resolve inquiries, disputes, and escalations with professionalism and empathy.

Solera Health transforms lives through innovative, connected healthcare solutions by connecting people with programs to improve well-being and prevent chronic disease. We are a fast-growing company that values teamwork, integrity, and opportunity.

US

  • Communicate with members via phone and email, providing empathetic support and solutions.
  • Accurately document interactions and collaborate with the team to share best practices.
  • Handle a high volume of inbound calls with a solution mindset and people-focused approach.

Achieve is a leading digital personal finance company helping people move from struggling to thriving with personalized financial solutions. We have over 3,000 employees in mostly hybrid and remote roles across the United States, with a culture focused on empathy and inclusion.

US

  • Respond to inbound and outbound calls to address customer inquiries about benefits and claims in a polite manner.
  • Forward inquiries as directed for priority resolution and document each encounter in the tracking system.
  • Multi-task in several computer applications while holding a conversation with a customer.

We are focused on delivering engaging interactions and positive experiences that leave a lasting impression. We are an equal opportunity employer committed to creating job opportunities and helping people pursue their total vocation.

US

  • Answer inbound calls from Medicare Advantage members and providers with empathy and professionalism.
  • Handle inquiries regarding benefit eligibility, enrollment, and claims status while conducting thorough research.
  • Navigate multiple systems to resolve issues and advocate for members, ensuring first-call resolution.

Johns Hopkins Health Plan provides health insurance services to members. It is part of the Johns Hopkins Health System, a large organization with a diverse team of healthcare professionals.

US

  • Provide product and service information to customers and answer their coverage questions.
  • Develop and maintain a knowledge base of evolving products and services.
  • Review customer agreements to develop cost-effective plans.

We are a leading supplemental benefits company with over 65 years of experience. We are expanding our team and looking for ambitious individuals to join our remote workforce.

US

  • Serve as a key point of contact for members seeking support with healthcare and wellness programs via phone, email, and live chat.
  • Help participants understand their eligibility, benefits, and available resources while resolving inquiries and escalations.
  • Support outbound outreach campaigns and accurately document member interactions across multiple systems.

This company connects individuals with healthcare and wellness programs and provides member support services. The team is collaborative and performance-oriented, with a focus on professional development and growth opportunities.

$31,100–$58,500/yr
US

  • Serve as the primary point of contact for clients regarding premium audit inquiries, handling phone and email communications with clear and accurate information.
  • Coordinate communication between clients and the audit team to ensure smooth processes, including scheduling appointments and gathering documentation.
  • Maintain accurate records, prepare audit reports, and identify process improvements to enhance client interactions and service delivery.

Crum & Forster provides specialty and standard commercial lines insurance products through admitted and surplus lines companies. With over 2,000 employees across the U.S., the company is recognized for its superior customer service and has earned a Great Place to Work Award for its employee-first focus.

$40,066–$61,212/yr
US

  • Deliver excellent customer experience by building rapport, understanding needs, and providing knowledgeable support in a fast-paced environment.
  • Answer incoming calls, service existing accounts, educate customers on coverage, and resolve policy, billing, and account questions.
  • Quote additional insurance products, complete applications, meet performance objectives, and maintain knowledge of insurance products and regulations.

Our partner is a company providing insurance customer service and support across the United States. They offer a collaborative work environment focused on customer service, teamwork, and employee development with opportunities for growth.

Costa Rica

  • Assist customers with their needs and resolve inquiries via phone, chat, and email.
  • Document technical issues and maintain detailed interaction records for future reference.
  • Proactively resolve concerns to drive satisfaction and foster long-term loyalty.

Qualfon helps people pursue their total vocation and create career opportunities. It is a values-driven organization with programs like Qualfon University and free access to learning platforms, supporting employees' growth.

US 3w PTO

  • Provide outstanding customer service to families and coordinate information between physicians, insurance companies, and clinics.
  • Obtain insurance authorizations and research benefits, eligibility, and authorization requirements.
  • Communicate cost shares and financial responsibilities to families to help them make informed treatment decisions.

Cranial Technologies is the only company dedicated to researching and treating plagiocephaly (flat head syndrome) and correcting infant ear shapes with EarWell. They have treated over 500,000 babies and offer a remote, customer-focused culture.

US

  • Assist customers via phone, email, chat, and social media to ensure a positive experience.
  • Resolve inquiries efficiently using multiple systems and take ownership until resolution.
  • Maintain product knowledge and meet service level agreements while providing accurate information.

We provide finance and insurance solutions for the automotive industry, offering vehicle protection plans. With over 60 years of experience, we serve thousands of dealerships and financial institutions across the U.S.

$33,280–$33,280/yr
US

  • Conduct administrative intake and scripted clinical intake of calls, providing quality customer service to providers and staff.
  • Collect and enter confidential information with high confidentiality, maintaining high-quality documentation standards.
  • Meet key performance indicators like Average Talk Time and quality, while adhering to HIPAA and regulatory standards.

WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving over 700 clients across 10 industries. With operations in 13 countries and more than 66,000 employees, WNS combines scale, expertise, and execution to create meaningful, measurable impact.