Part Time Provider Services Advocate

Part-Time Provider Services Advocate, Provider Services



 

Department:  Provider Services

Position Title: Part-Time Provider Services Advocate(3pm-7pm)

Reports To: Manager, Provider Services

 

Position Overview:

 The Provider Services Advocate is responsible for responding to Provider telephone inquiries and for identification and elevation of issues to management. 



Duties and Responsibilities:

 Â·  Provide world class service to our providers by responding to provider issues and inquiries that are received via the telephone.

·  Review, research and respond to inquiries from Providers.

·  Identify issues based on provider inquiries and elevate those issues management.

·  Analyze database to identify problems / issues pertaining to claim processing.

·  Document computer system to track inquiry.

·  Meet departmental statistical world class goals

·  Complete miscellaneous assignments upon request.Qualifications

 Â·  High School diploma / GED required; college course work preferred.

·  Minimum of one (1) year experience processing UB92 & HCFA 1500 claims preferred.

·  Understanding of claim adjudication logic preferred.

·  Excellent customer service skills required.

·  Ability to read and interpret documents, such as medical reports, procedure manuals and complaint correspondence required.

·  Proficiency in Microsoft applications (MS Word / Excel) required.

·  Excellent verbal, written and interpersonal communication skills required.