- UPMC (Pittsburgh, PA)
- The Provider Service Representative serves as an advocate for Health Plan customers - including providers, vendors, and facilities - by offering clear ... with care and accuracy. While maintaining call quality and service standards, you'll play a key role in supporting...clear career path for growth and advancement. We also provide a comprehensive on-the-job training program to set you… more
- Molina Healthcare (Des Moines, IA)
- …strategic plan and in compliance with all relevant federal, state and local regulations. Provider Services staff are the primary point of contact between Molina ... Portal, Provider Website, etc.). + Trains other Provider Services Representatives as appropriate. + Role...setting. **Required Experience** + 2 - 3 years customer service , provider service , or claims… more
- Molina Healthcare (WA)
- …strategic plan and in compliance with all relevant federal, state, and local regulations. Provider Services staff are the primary point of contact between Molina ... . **KNOWLEDGE/SKILLS/ABILITIES** + Under general supervision, responsible for various provider services functions with an emphasis on...setting. **Required Experience** + 3 - 5 years customer service , provider service , or claims… more
- Magellan Health Services (PA)
- …of Microsoft Office suite and data entry experience. General Job Information Title Provider Engagement and Performance Representative (Remote in PA - Bedford ... and other value-based data. This position acts as the conduit between the provider , Magellan, and the customer(s) to ensure streamlined, consistent and supportive … more
- Independent Health (Buffalo, NY)
- …Provider Relations Representative will be responsible for assisting our provider constituents and providing exceptional customer service . The Provider ... questions, billing and payment questions, and EOB explanations. The Provider Relations Representative will focus on first...+ Identify potential system configuration or billing issues and provide education to the provider to correct… more
- Molina Healthcare (Lexington, KY)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 3 - 5 years customer service , provider service , or claims experience in a managed care ... services Molina members, including but not limited to Fee-For- Service and Pay for Performance Providers. It is an...* 3+ years experience in managed healthcare administration and/or Provider Services . * Working familiarity with various… more
- CVS Health (Olympia, WA)
- …Triage resulting rework to appropriate staff. + Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims ... unasked questions, eg, additional plan details, benefit plan details, provider self- service tools, etc. + Use customer...a direct connection to the router (NOT Wi-Fi). We provide a 6 1/2 foot long ethernet cord, if… more
- Molina Healthcare (Austin, TX)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 2 - 3 years customer service , provider service , or claims experience in a managed care ... services Molina members, including but not limited to Fee-For- Service and Pay for Performance Providers. It is an...* 3+ years experience in managed healthcare administration and/or Provider Services . To all current Molina employees:… more
- Methodist Health System (Dallas, TX)
- …Work Shift: Day Job Description: Job Description: The purpose of the **Associate Provider Services Representative ** is multifaceted; it requires excellent ... hospitals (through ownership and affiliation) with nationally recognized medical services , such as a Level I Trauma Center, multi-organ...will continue to be, the policy of MHS to provide equal employment opportunity to all people in all… more
- AmeriHealth Caritas (Harrisburg, PA)
- **Role Overview:** The Provider Network Contract Representative oversees the daily operations related to Out of Network (OON) agreements, provider contracts, ... between providers and internal departments such as Credentialing, Clinical, Member Services , and Provider Maintenance, ensuring compliance with state regulations… more