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Provider Service Representative (Contract)

The Jacobson Group Flint, MI
  • Expired: 10 days ago. Applications are no longer accepted.

Contract role through April

REQUIREMENTS

  • High School Diploma - Required, Associates or higher - Preferred
  • 2+ years of Experience in a high-volume call role - Required
  • 2+ years experience in a physician front office environment or equivalent- Required
  • Microsoft Excel Test and Data Entry Test results included ins Submission - Required

Job Description

  1. Meet the Department call metric standards and issues/diaries entered.
  2. 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
  1. Ongoing Provider education.
  2. Responsible for all benefits information given to Providers and Members.
  3. Participate in Departmental Projects, as appropriate.
  4. Coordinate quality improvement initiatives with Medical Management Dept., Network Development, i.e., HEDIS improvement, Provider education.

    The Jacobson Group

    The Jacobson Group is the leading provider of talent to the insurance industry

    Address

    Flint, MI
    USA