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Provider Service Representative Jobs in Massachusetts

Customer Service Representative (CSR)

Ayer, MA · On-site

$18 - $24.25/hr

Customer Service Representative (CSR) Customer Service Representative: The Customer Service ... Greet customers and provide them with a positive, engaging experience with your personality ...

Customer Service Representative (CSR)

Lee, MA · On-site

$17.25 - $23.50/hr

Customer Service Representative (CSR) Customer Service Representative: 50 West Central Street, Lee ... Greet customers and provide them with a positive, engaging experience with your personality ...

Service Representative

Wilmington, MA · On-site

$50K - $65K/yr

...   Service Representatives will build their territory with Account Executives to maximize the ... Develops new and existing skills through educational programs with both Company provided and vendor ...

Patient Service Representative

Worcester, MA · On-site

$17.50 - $22.25/hr

LifeVest ® is worn by patients at risk for sudden cardiac arrest (SCA), providing protection ... Service Representative sets up the equipment and trains the patient and caregivers on the use and ...

Patient Service Representative

Boston, MA · On-site

$19 - $24.25/hr

LifeVest ® is worn by patients at risk for sudden cardiac arrest (SCA), providing protection ... Service Representative sets up the equipment and trains the patient and caregivers on the use and ...

Patient Service Representative

Framingham, MA · On-site

$18 - $23/hr

LifeVest ® is worn by patients at risk for sudden cardiac arrest (SCA), providing protection ... Service Representative sets up the equipment and trains the patient and caregivers on the use and ...

Patient Service Representative

Worcester, MA · On-site

$17.50 - $22.25/hr

LifeVest ® is worn by patients at risk for sudden cardiac arrest (SCA), providing protection ... Service Representative sets up the equipment and trains the patient and caregivers on the use and ...

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Showing results 1-20

Provider Service Representative information

See Massachusetts salary details

$13

$25

$42

How much do provider service representative jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for provider service representative in Massachusetts is $25.16, according to ZipRecruiter salary data. Most workers in this role earn between $18.89 and $29.95 per hour, depending on experience, location, and employer.

How to become a provider service representative?

To become a provider service representative, candidates typically need a high school diploma or equivalent, strong communication skills, and experience with customer service or healthcare environments. Some employers may require knowledge of medical terminology or familiarity with healthcare management software. Certification is not mandatory but can enhance job prospects.

What are some common challenges provider service representatives face when supporting healthcare providers, and how can they be managed effectively?

Provider Service Representatives often encounter challenges such as addressing complex benefit or claims inquiries, navigating differing provider expectations, and keeping up with frequent changes in healthcare regulations or company policies. Effective management involves strong communication skills, ongoing training, and the ability to quickly research and relay accurate information. Building positive relationships with providers and collaborating closely with internal teams also help to resolve issues efficiently and maintain high service standards.

What are the key skills and qualifications needed to thrive as a provider service representative, and why are they important?

To thrive as a Provider Service Representative, you need a solid understanding of healthcare processes, insurance claims, and customer service, often supported by a background in healthcare administration or a related field. Familiarity with health plan management software, claims processing systems, and proficiency in Microsoft Office are typically required. Strong communication, problem-solving skills, and attention to detail help build positive relationships with providers and efficiently resolve issues. These skills are crucial for ensuring provider satisfaction, accurate claims handling, and smooth operations within healthcare organizations.

What is the difference between Provider Service Representative vs Customer Service Representative?

AspectProvider Service RepresentativeCustomer Service Representative
CredentialsHigh school diploma or equivalent; healthcare-specific training often preferredHigh school diploma or equivalent; general customer service training
Work EnvironmentHealthcare settings, insurance companies, medical officesRetail, call centers, service industries
Employer & IndustryHealthcare providers, insurance companiesVarious industries including retail, telecom, finance
Search & Comparison IntentUnderstanding healthcare-specific roles, insurance supportGeneral customer support roles

The Provider Service Representative focuses on healthcare-related support, often dealing with insurance claims and provider inquiries, while the Customer Service Representative handles a broader range of customer inquiries across various industries. Both roles require strong communication skills but differ in industry-specific knowledge and work environment.

What is a provider service representative?

Provider Service Representatives are professionals who act as liaisons between healthcare providers (such as doctors, hospitals, and clinics) and health insurance companies. They handle inquiries, resolve issues related to claims or benefits, and ensure providers understand policies and procedures. Their role is essential for maintaining positive relationships and efficient communication between providers and insurers, helping to navigate complex healthcare systems and facilitate quality patient care.
Infographic showing various Provider Service Representative job openings in Massachusetts as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 17% Part Time, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $52,324 per year, or $25.2 per hour.

Service Representative (East Coast Candidates only) | Dental Provider Service Division | Septembe...

Blue Cross and Blue Shield of Massachusetts, Inc.

Hingham, MA • Remote

$20.51/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 21 days ago


Job description

Ready to help us transform healthcare? Bring your true colors to blue. 

BCBSMA is hiring Dental Provider Service Representatives for our elite Dental Provider Services Division!
We are seeking results-driven Dental Provider Service Representatives to join our fast-paced inbound call center. In this role, you will resolve dental provider inquiries regarding claims, eligibility, and benefits via phone. The Dental Provider Service Representatives will be responding to provider claims processing inquiries, timely filing, account receivables, questions on corporate and dental policies and guidelines, and benefit-related issues and questions. The Dental Provider Service Representatives will represent Dental Provider Service in a positive and professional manner through appropriate telephone techniques and documentation. Our Dental Provider Service Representatives work in a structured inbound service center environment.

COMPENSATION:

  • Starting at $20.51/hour ($40,000/year) during training
  • Eligible for increase after successful completion of training.
  • Opportunities for continued salary growth as skills progress via our career progression model
  • Annual raise/bonus based on performance

WHAT YOU WILL DO:

  • Assess, identify, and resolve a provider and / or partner internal inquires in a timely and professional manner.
  • Resolve provider inquiries within the departmental quality and business metric goals established.
  • Research and handle complex requests in an appropriate time frame with effective follow-up.
  • Review and manage personal inventory, in a timely manner, including aged inquiries.
  • Communicate in a clear and concise manner to providers', peers and all levels of leadership.
  • Contribute to the achievement of divisional and corporate goals.
  • Comply with corporate, division, and team policies and guidelines.
  • Educate providers' on electronic technology and track trends for process improvements.
  • Continually develop telephone techniques and research skills through self-assessment and constructive feedback.
  • Monitor performance indicators in relation to individual, team, and divisional goals.
  • Participate in workgroups and attend meetings to represent the division as required.
  • Share innovative and creative solutions that result in increased levels of provider satisfaction.
  • Foster a team-based environment by participating in various activities that lead to Associate support and provider satisfaction.

WHAT YOU BRING:

  • Minimum HS Diploma or GED is required
  • At least 1 year experience working in a direct contact, customer service environment preferred
  • Stellar attendance and punctuality
  • Call Center experience, highly desired
  • Strong verbal and written communication skills in addition to being a team player are a must
  • Must be self-motivated and possess strong organizational and multi-tasking abilities in order to meet strict guidelines.
  • Must be able to provide service designed to meet the customer's needs, showing empathy and the ability to apply reasonableness.
  • Must have a personal commitment to high quality performance through integrity, accountability, compassion, and teamwork.
  • Proficient computer skills (E.g., Microsoft Word, email management, Internet use, etc.)
  • Strong navigational skills with multiple systems and current knowledge oftechnology

WHAT YOU WILL GET:

  • Opportunities for continued salary growth as skills progress
  • Annual raise/bonus based on performance
  • Competitive Pay, Benefits, 401K & More!
  • Daytime Work Hours: Monday-Friday 8:30AM-4:30PM
  • No weekends or holidays!
  • 3 Weeks Vacation Time + Wellness Time + Personal Days
  • Professional development & career opportunities at BCBSMA after 15 months of service

The role is eligible for the following personas: E-worker, Resident & Mobile

If interested, you can expect an email within one day of application to begin the hiring process by taking an online assessment in the comfort of your home. This test will take you less than a half hour! After completion of the assessment, you will also receive a free Workplace Insights Report based on your individual results.

APPLY TODAY!

#LI- DNI

#LI-Remote

Blue Cross Blue Shield of Massachusetts is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.

Blue Cross Blue Shield of Massachusetts will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Blue Cross Blue Shield of Massachusetts's legal duty to furnish information.

Minimum Education Requirements:

High school degree or equivalent required unless otherwise noted above

LocationHinghamTime TypeFull timeHourly Range: $20.40 - $20.40

The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

This job is also eligible for variable pay.

We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

WHY Blue Cross Blue Shield of MA?

We understand that theconfidence gapandimposter syndromecan prevent amazing candidates coming our way, so please don't hesitate to apply. We'd love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It's in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.

As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting ourCompany Culturepage. If this sounds like something you'd like to be a part of, we'd love to hear from you. You can also join ourTalent Communityto stay "in the know" on all things Blue.

At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.