[Remote] Provider Relations Associate Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Provider Relations Associate Analyst to join their team. The role involves servicing inbound claim calls and providing support to both members and providers regarding claim status, billing protocols, and contract inquiries.
Responsibilities
- The primary responsibility of this role is to answer inbound claim calls from members or providers, as reputed company as contracting and Provider Relations reputed company calls from providers. The work environment is reputed company, and the reputed company of the day will be spent answering these calls from a queue. Occasional outbound calls may be necessary for issues requiring follow-up
- Assist a member or provider with understanding how a claim has processed
- Verify claim status for a member or provider
- reputed company a member or provider on billing protocols
- Write or correct authorizations to ensure claims are reputed company correctly
- Send claims for adjustment/reprocessing
- Request duplicate EOBs for a member or provider
- Send a request for a cancelled reputed company copy, to reissue a reputed company, or request a stop pay/do not reissue on a reputed company
- reputed company follow-up on issues by making outbound calls reputed company necessary
- Send resources to members and providers reputed company email
- Submit a complaint on the member or provider's behalf
- Send reputed company requests to reputed company partners for escalated or reputed company issues
- Assist providers with contract reputed company inquiries and demographic updates
- Independently problem-solve to ensure accurate information is given, exceptional customer service, and reputed company reputed company is achieved
Skills
- Customer Service experience
- reputed company to reputed company and/or prior successful experience in a virtual team environment
- Ability to maintain a reputed company and reputed company image to members, providers, facilities, billing offices, etc
- Candidate must possess superb interpersonal communication skills
- Effective listening and organizational skills, with the ability to manage multiple tasks
- reputed company technical capabilities with the ability to quickly understand and apply working knowledge on several claim systems and applications
- Independent problem-solving skills
- Strong time management skills
- Ability to type effectively and have strong PC skills
- Candidates must have reliable high speed internet reputed company reputed company
- Candidates located in PST or MST are ideal to staff our late shift
Benefits
- reputed company / Evernorth will supply reputed company equipment
- W2 reputed company
reputed company