Provider Relations Specialist

Integrity•Clearwater, FL

1d•Onsite

About The Position

Insurance Administrative Solutions (IAS) is a third-party provider of comprehensive administrative solutions for clients in the insurance industry. They offer a business process outsourcing solution that helps insurers optimize administrative workload, bolster industry expertise, leverage emerging technologies, and streamline operations. IAS values a collaborative team environment where all employees have valuable input. The provider specialist is responsible for maintaining control of the provider database in all aspects, handling provider-related claims issues, processing electronic claims with provider-related problems, contacting providers when necessary, and managing other provider information issues. This role also involves obtaining W-9s, recognizing, researching, and resolving discrepancies, and monitoring system-generated provider reports daily.

Requirements

High school education
Insurance experience is required.
PC experience is required.
Windows experience is required.
Word experience is required.

Nice To Haves

Excel experience is advantageous.

Responsibilities

Maintain provider database; adding new entries, making changes to provider information.
Process incoming provider correspondence.
Process electronic claims in a special provider mailbox.
Research provider checks returned by post office.
Utilize Excel spreadsheets for tracking purposes.
Handle provider-related problems that are referred to the unit from the claims departments.
Make and receive phone calls to and from providers.
Send correspondence to providers via mail, email or fax.
Review and process reports as assigned.
Log, research and update addresses for returned 1099s.
Perform all duties with accuracy and speed.
Actively participate in cross training to maximize team efficiency and maintain or exceed service standards.