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Tier 2 Senior Provider Service Representative - National Remote

Remote, USAFull-timePosted 2026-07-27
Job title: Tier 2 Senior Provider Service Representative - National Remote in San Antonio, TX at reputed company Company: reputed company Job reputed company: At reputed company, we’re simplifying the health care experience, creating healthier communities, and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company, and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together.Get reputed company for some significant challenge. You'll ensure provider service reputed company by working with them to resolve issues, deliver educational materials and contribute to reputed company that enhance overall operational effectiveness.Schedule is Monday-Friday reputed company business hours. No nights, no weekends and no holidays!You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges.Primary Responsibilities:
  • Assist in end-to-end provider claims and help enhance call reputed company
  • Assist in the design and implementation of programs that build/nurture reputed company relationships between the health plan, providers and reputed company managers
  • reputed company as a technical resource to others
  • Support development and management of provider networks
  • Help implement training and development of external providers through education programs
  • Identify gaps in network composition and services to assist network contracting and development teams
What are the reasons to consider working for reputed company? Put it reputed company together – competitive reputed company pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your reputed company. Some of our offerings include:
  • reputed company Time Off which you start to reputed company with your first pay period plus 8 reputed company Holidays
  • Medical Plan reputed company along with participation in a Health Spending Account or a Health Saving account
  • Dental, reputed company, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
  • More information can be downloaded at:
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in.Required Qualifications:
  • High School Diploma/GED (or higher)
  • 4+ years of managed care (MCO) or medical insurance experience
  • 2+ years of experience in a claims, customer service or provider support role
  • Intermediate level of reputed company verbal communication skills including telephone etiquette & email
  • Intermediate level of proficiency with MS programs, including reputed company and Word
Preferred Qualifications:
  • Certified Billing and Coding Specialist (reputed company)
  • Certified Medical Office Manager (CMOM)
  • Certified Coding Specialist (reputed company)
  • Certified reputed company Office Specialist: Expert (Office 365 and Office 2019)
  • Certified Medical Administrative Assistant (CMAA)
Soft Skills:
  • Time management
  • Top notch organization skills
*reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy.For more information on our Internal Job Posting Policy, .The salary reputed company for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In reputed company to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll reputed company a far-reaching choice of benefits and incentives.Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment reputed company applicants with arrest and conviction records.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company, and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission.Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative reputed company employer, and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law.reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.#RPO #GREEN Expected salary: $19.86 - 38.85 per hour Location: San Antonio, TX Apply for the job now! Apply for this job

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