The Provider Services/Customer Service Representative supports healthcare and Medicaid providers through telephone, written, and system-based communications. This role is responsible for resolving provider inquiries, processing updates, maintaining accurate records, and delivering excellent customer service while meeting established performance standards. Your role in our mission is to answer incoming provider calls and resolve basic to moderately complex inquiries, routing calls when necessary. Conduct outbound calls to follow up on and resolve provider requests. Process member updates and verify the accuracy and completeness of records for audit and reporting purposes. Meet client Service Level Agreements (SLAs) and production goals while maintaining accuracy. Collaborate with team members, management, and customers to resolve service issues and maintain professional communication.
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Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED