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Provider Services Representative Jobs (NOW HIRING)

MJHS

Provider Services Representative

Manhattan, NY · On-site

$40K - $43K/yr

The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster ...

MJHS

Provider Services Representative

Manhattan, NY

$40K - $43K/yr

Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high ...

Kore1

Provide Services Representative

Rancho Cucamonga, CA

$16.25 - $22.25/hr

KORE1, a nationwide provider of creative and information technology recruiting, has an immediate opening for a Contract Medical Provider Services Representative for a large healthcare organization in ...

SuVeto

Client Services Representative

Berthoud, CO

$17 - $19/hr

... Services Representative to join our team! At Berthoud Animal Hospital, we provide quality and ... Our veterinarians provide services for dogs and cats including wellness care, internal medicine ...

New Jersey Imaging Network

Provider Service Rep

Union, NJ · On-site

$60K - $75K/yr

When you join RadNet as a Provider Service Representative , you will be joining a dedicated team of ... Be responsible for identifying, prospecting and marketing contract imaging services to local IPA ...

RadNet

Provider Service Rep

NJ · On-site

$60K/yr

When you join RadNet as a Provider Service Representative , you will be joining a dedicated team of ... Be responsible for identifying, prospecting and marketing contract imaging services to local IPA ...

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Provider Services Representative information

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$29.5K

$48.3K

$78.5K

How much do provider services representative jobs pay per year?

As of May 31, 2026, the average yearly pay for provider services representative in the United States is $48,284.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,000.00 and $57,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Provider Services Representative, and why are they important?

To thrive as a Provider Services Representative, you need strong knowledge of healthcare policies, insurance processes, and customer service, often supported by a relevant associate degree or healthcare administration experience. Familiarity with claims processing systems, medical billing software, and CRM platforms is typically required. Excellent communication, problem-solving, and organizational skills help you manage provider inquiries and resolve issues efficiently. These skills ensure accurate information exchange, provider satisfaction, and smooth operations within healthcare organizations.

What are some of the most common challenges faced by Provider Services Representatives, and how can they be managed effectively?

Provider Services Representatives often encounter challenges such as resolving complex provider inquiries, navigating frequent updates to healthcare policies, and balancing a high volume of calls or cases. Successful representatives manage these challenges by staying up-to-date with policy changes through regular training, leveraging internal resources for quick issue resolution, and developing strong communication skills to clearly explain procedures to providers. Building collaborative relationships with other departments, such as claims or credentialing teams, also helps streamline the resolution process and enhances overall service quality.

What are Provider Services Representatives?

Provider Services Representatives are professionals who serve as the main point of contact between healthcare providers (such as doctors, hospitals, and clinics) and health insurance companies. They help resolve provider inquiries related to claims, benefits, eligibility, authorizations, and network participation. Their role ensures smooth communication and understanding between providers and insurers, ultimately helping patients receive the care they need. Provider Services Representatives may also assist with provider education and support efforts to improve provider satisfaction.

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

AspectProvider Services RepresentativeCustomer Service Representative
CredentialsHigh school diploma or equivalent; healthcare knowledge often preferredHigh school diploma or equivalent; general customer service skills
Work EnvironmentHealthcare offices, insurance companies, provider networksRetail, call centers, various industries
Employer & IndustryHealthcare, insurance providersVarious sectors including retail, telecom, finance
Common Search IntentUnderstanding healthcare provider support rolesGeneral customer support roles

The Provider Services Representative primarily works within healthcare and insurance settings, focusing on supporting healthcare providers and managing provider-related inquiries. In contrast, a Customer Service Representative handles a broader range of customer inquiries across multiple industries. While both roles require strong communication skills, Provider Services Representatives often need healthcare knowledge and familiarity with insurance processes, making their role more specialized within the healthcare industry.

More about Provider Services Representative jobs
What cities are hiring for Provider Services Representative jobs? Cities with the most Provider Services Representative job openings:
Who are the top companies hiring for Provider Services Representative jobs? The top employers for Provider Services Representative jobs are:
What states have the most Provider Services Representative jobs? States with the most job openings for Provider Services Representative jobs include:
What job categories do people searching Provider Services Representative jobs look for? The top searched job categories for Provider Services Representative jobs are:
Provider Services Representative jobs near you
Infographic showing various Provider Services Representative job openings in the United States as of May 2026, with employment types broken down into 93% Full Time, 5% Part Time, 1% Temporary, and 1% Contract. Highlights an 89% Physical, 7% Hybrid, and 4% Remote job distribution, with an average salary of $48,284 per year, or $23.2 per hour.

Provider Services Representative

Metropolitan Jewish Health System

Manhattan, NY

$40K - $43K/yr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago

Job description

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.


At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.


Benefits include:

  • Tuition Reimbursement for all full and part-time staff
  • Generous paid time off, including your birthday!
  • Affordable and comprehensive medical, dental and vision coverage for employee and family members
  • Two retirement plans! 403(b) AND Employer Paid Pension
  • Flexible spending
  • And MORE!

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)


You will:

  • Manage high volume incoming calls, and emails
  • Problem solve and research solutions for the caller
  • Log all calls into computer with details of the call
  • Work within multiple systems with dual screen monitors
  • Maintain a professional dialogue while handling difficult situations with callers

  • High School Diploma or equivalent
  • Must live in the tri-state area 
  • 3-4 years of experience in customer service in a healthcare environment
  • Prior experience in one or more of the following: Medicare, Medicaid, health insurance, geriatric population and or utilization/care management process is preferred.

USD $40,000.00/Yr.
USD $43,000.00/Yr.

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