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US

  • Manage multiple channel interactions with excellent communication skills.
  • Effectively present and discuss products and services to providers.
  • Establish and maintain positive relationships with providers.

Customer Service Communication Microsoft Office Typing Data Entry

20 jobs similar to Provider Services Representative

Jobs ranked by similarity.

US

  • Manage telephone, electronic, and face-to-face interactions professionally and efficiently.
  • Effectively present and discuss products and services to customers with integrity and accuracy.
  • Focus on customer retention by resolving concerns and enhancing the member experience.

Capital Blue Cross is committed to going the extra mile for their team and community. They are a caring team of supportive colleagues where your health and wellbeing are prioritized.

US

  • Provide prompt and courteous assistance to customers via various channels.
  • Sell and quote new business to both personal and commercial lines clients.
  • Assist in preparing and processing commercial insurance policies.

Trucordia is an insurance brokerage that brings together people, tools, and solutions. They have over 5,000 team members across 200 offices and are ranked as one of the fastest-growing companies in the U.S. for three consecutive years.

  • Research, verify and resolve inquiries related to Oregon Health Plan (OHP) or Medicare eligibility.
  • Respond and assist members with Primary Care Provider (PCP) assignments and explain OHP or Medicare benefit coverage.
  • Collaborate with providers, Division of Medical Assistance Programs (DMAP), and members to ensure effective customer service and the resolution of any health plan issues that arise.

CareOregon is a nonprofit, mission-driven health plan focused on providing care to low-income Oregonians. We are an equal opportunity employer that greatly encourages military veterans to apply and considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.

US

  • Requests records and information from providers.
  • Responds to telephone inquiries promptly, professionally, and efficiently to provide resolution.
  • Analyzes provider questions to determine best use of resources to resolve the situation.

Empower AI provides federal agency leaders with tools to elevate their workforce's potential for transformation. They leverage three decades of experience solving complex challenges in Health, Defense, and Civilian missions and are headquartered in Reston, VA.

$24–$46/hr
US

  • Collaborates with members, family, and healthcare providers to coordinate services and address barriers.
  • Guides members to achieve optimal health by providing tools and information to understand their healthcare options.
  • Identifies and assesses members’ medical, behavioral, social, emotional, and financial needs.

Capital Blue Cross promises to go the extra mile for their team and community. They are one of the “Best Places to Work in PA”, with a caring and supportive culture that values professional and personal growth through training and continuing education.

US

  • Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
  • Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
  • Assist individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups

Pair Team is an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, they deliver whole-person care, and leverage AI and automation to reduce administrative burden. They are deeply collaborative with nurses, social workers, community health workers, and medical professionals.

US

  • Handle inbound calls and chat boxes from our members regarding Sidecar Health’s products and services.
  • Provide excellent customer service in a timely and positive manner.
  • Build rapport and maintain positive relationships with existing members to understand their needs and ensure a memorable member experience.

Sidecar Health is redefining health insurance with a mission to make excellent healthcare affordable and accessible. Their team comes from diverse backgrounds and shares a desire to fix a broken system, making healthcare personalized, affordable, and transparent.

US

  • Educate recipients about the Pathways Program offerings and enrollment options.
  • Introduce managed care choices to recipients and aid in navigating health care and dental plans.
  • Cultivate positive relationships with county staff, state agencies, community groups, and recipients.

Knowledge Services is a company that provides workforce management solutions. They are committed to working with individuals with disabilities and providing reasonable accommodations.

US

  • Handle inbound and outbound contacts in a courteous, timely, and professional manner
  • Ensure first call resolution through problems solving and effective call handling
  • Accurately document and process customer claims in appropriate systems

MCI is a tech-enabled business services company in the USA, delivering Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a-Service (XaaS) cloud technology solutions across various industries. They employ 10,000+ individuals and have been recognized as one of the fastest-growing companies.

  • Effectively collaborate with multidisciplinary teams.
  • Align technical work with project objectives.
  • Foster strong, productive working relationships.

IDID Pte Ltd is a remote support services company. They foster essential organizational tasks, flexibility of fully remote work, and client needs.

US

  • Answer inbound sales calls from customers interested in learning about products and services.
  • Discuss and assist customer needs and matching the most suitable plan and promotion.
  • Meeting key performance indicators (sales calls, sales process, call quality, and product selection).

Keystone is a fast-growing company seeking top talent employees. They match clients’ needs in the health insurance market and are proud of helping thousands of Americans to find peace of mind and economic stability.

  • Reaching out to health plan members.
  • Guiding them toward scheduling their care assessments.
  • Giving them the encouragement they need to take that next step.

Carenet Health turns everyday conversations into meaningful connections that help people take charge of their health. They value the expertise and dedication of their team members and show it through a competitive and supportive package.

$40,278–$48,334/yr
Canada 4w PTO

  • Manage a caseload of in-progress applications through the underwriting process
  • Coordinate and follow up on medical exam bookings with vendors and clients
  • Handle inbound calls and respond to client emails

PolicyMe is Canada’s leading digital insurance solution, offering straightforward and affordable financial protection for families. They operate with a remote-first culture, attracting top talent from across Canada, with employees who are ambitious, yet humble.

US

  • Engage and enroll eligible health plan members in supportive care services.
  • Educate members on Tuesday Health’s service offerings and support ongoing engagement.
  • Provide ongoing telephonic customer service to members and their caregivers.

Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They deliver goal-centered care focused on alleviating physical symptoms and emotional stress for individuals and their caregivers and are shaping the future of community-based palliative care nationwide.

US

  • Responsible for establishing and maintaining positive relationships with various providers.
  • Drives provider engagement and communication, supporting network development.
  • Manages provider performance, shares data, and supports the implementation of quality initiatives.

CommonSpirit Health has over 700 care sites across the U.S., offering services from clinics and hospitals to home-based and virtual care. They are committed to building healthy communities and advocating for those who are poor and vulnerable.

$32,363–$56,701/yr
US

  • Thoroughly verifies and explains coverage to Policyholders.
  • Sets reserves for anticipated losses and arranges required inspections.
  • Coordinates with other departments and researches customer inquiries.

Mercury Insurance has been helping people reduce risk and overcome unexpected events for over 60 years. They value their team members and offer diverse perspectives to serve customers from all walks of life.

US 4w PTO

  • Maintain positive customer relationships by responding to inquiries via phone.
  • Provide information and education about IRS regulations and spending accounts.
  • Serve as a customer advocate by identifying needs and guiding them to resources.

HealthEquity's mission is to save and improve lives by empowering healthcare consumers. They are passionate about providing solutions that allows American families to connect health and wealth, valuing individuals more than positions and fostering a welcoming and inclusive environment.

US

  • Research, review and respond to inquiries received from members and providers.
  • Employ active listening skills, demonstrate patience and empathy, and handle difficult calls tactfully, courteously, and professionally.
  • Effectively manage escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure.

Evry Health is on a mission to bring humanity to health insurance through personalized, high-technology health plans that expand benefits and increase access and transparency. They are the major medical division of Globe Life with over 3,000 employees and a flexible and remote work environment.

US

  • Answer phones, chat, social media, or email in a polite, courteous, and professional manner.
  • Work with customers daily to sustain and improve business relationships and identify customer issues.
  • Schedule delivery orders and utilize basic negotiation skills for issues pertaining to new and returning customers.

Ferrellgas is recognized as one of America’s Most Trustworthy Companies. They are focused on delivering exceptional service and value to their customers. They have tight-knit communities across America.

US

  • Communicate clearly and professionally with team members.
  • Support Provider Experience initiatives by tracking project deliverables.
  • Maintain accurate, organized documentation to support transparency across projects.

CareCentrix is committed to making home the center of care. They offer advanced home care to improve patient health and lower healthcare costs. They value caring for their employees and strive for excellence.