Provider Inquiry Representative I (Hybrid - Troy, MI) - Health Alliance Plan
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About The Position
This position has the following primary objectives with respect to customer relations for all HAP/AHL product lines: (1) Provide courteous and prompt resolution to provider inquiries by conducting thorough investigations and fully educating provider/customers; with the goal of resolution upon initial customer contact; (2) Support corporate and departmental goals, provider engagement and education activities and product launches; (3) Research and investigate service failures and report to leadership; identify root cause and recommend resolutions for service recovery and retention. Have general knowledge of Claims Manual to provide direction on billing requirements, policies and related procedures.
