Provider Relations Associate

TEKsystems•Tampa, FL

5d•$25 - $28•Onsite

About The Position

The Provider Customer Service Associate is a key resource for provider inquiries, serving as the first point of contact and ensuring timely, accurate, and empathetic resolution of issues related to bill review, payment status, and claims processing. This role requires problem-solving skills to research complex issues across multiple systems and to collaborate with internal teams such as Billing, Medical Bill Review, Finance, and Network Services. The Associate is accountable for thorough documentation, compliance adherence, and proactive follow-up to guarantee provider satisfaction. Additionally, this position supports leadership by helping to identify trends, escalating systemic issues, and contributing to continuous improvement initiatives. Success in this role demands strong communication skills, attention to detail, and a commitment to delivering exceptional service.

Requirements

Customer service
healthcare
billing
bill review
claims
provider relations
provider calls

Responsibilities

Serve as initial point of contact for provider inquiries, demonstrating professionalism, empathy, and a commitment to resolution.
Respond to incoming provider calls with a focus on understanding concerns related to bill review, payment status, and claims processing.
Research complex issues across multiple systems and departments to identify root causes and determine appropriate resolutions.
Collaborate with internal teams (e.g., Blling, Bill Review, Finance) to resolve provider issues efficiently and accurately.
Ensure timely and thorough follow-up with providers, maintaining accountability for issue closure and satisfaction
Support manager in identifying trends in provider inquiries and escalate systemic issues or process gaps to leadership.
Support continuous improvement initiatives by providing feedback on provider pain points and workflow inefficiencies.
Maintain up-to-date knowledge of billing guidelines, payment policies, and system workflows to ensure accurate and informed responses.
Document all interactions and resolutions in CRM system in accordance with standard operating procedures and audit standards.
Meet department standards for productivity, including average calls per hour, average handling & wrap up time, abandoned and rejected call stats and passing QA scores.