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Temp to Perm - Non-Clinical - Provider Service Representative (Days) Flint, MI

Flint, MI 48532

Posted: 11/28/2023 Category: Professional Job Number: 92328

Job Description

Now hiring Provider Services Representative in Flint, MI Immediately available to qualified and licenses candidates if interested.

Provider Services Representative Highlights
  • This does start off as remote but will eventually be in the office fulltime

Job Requirements:
  • • Meet the Department call metric standards and issues/diaries entered.

    • Assist Providers and Members as needed with questions and concerns.

    • •
    Answer billing/claims status
    questions; resolve claim issues for providers

    • •
    Assist with pharmacy issues

    • •
    Verify member eligibility

    • •
    Quote benefits

    • •
    Assist with Referrals

    • Ongoing Provider education.

    • Responsible for all benefits information given to Providers and Members.

    • Participate in Departmental Projects, as appropriate.

    • Coordinate quality improvement initiatives with Medical Management Dept., Network Development, i.e., HEDIS improvement, Provider education.

    • Other duties as assigned or when necessary to maintain efficient operations of the department and the Company as a whole.

Provider Services Representative Requirements
• High School Diploma - Required, Associates or higher - Preferred

• 2+ years of Experience in a high-volume call role - Required

If you think this position is a good fit for you, please reach out, call or e-mail!

Bernadette Wenson


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