A-Line Staffing Solutions
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Now hiring Provider Services Representative in Flint, MI Immediately available to qualified and licenses candidates if interested.
Provider Services Representative Highlights
Job Requirements:
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
bwenson@alinstaffing.com
586-710-7963
Temp to Perm - Non-Clinical - Provider Service Representative (Days) Flint, MI
3245 Beecher Road Flint, MI 48532 US
Posted: 02/14/2022
2022-02-14
2023-07-05
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
bwenson@alinstaffing.com
586-710-7963