Provider Services Representative

MVP Health Care • Rochester, NY

6d • $20 - $27 • Remote

About The Position

Join MVP Health Care in shaping the future of health care. As a not-for-profit organization, MVP Health Care is dedicated to creating a healthier future for everyone by embracing innovation, championing equity, and continuously improving how they serve their communities. The team is powered by individuals who are curious, humble, and committed to making a difference. MVP Health Care has been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. They invest in what matters most: their customers, communities, and team. This role offers growth opportunities, a people-centric culture, competitive compensation, and comprehensive benefits focused on well-being. It's an opportunity to shape the future of health care with a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace. The role reflects a shared goal of enhancing health care delivery and building healthier, more vibrant communities.

Requirements

• High school diploma or equivalent required.
• 1–3 years of customer service, call center, or healthcare administrative experience; provider service or health plan experience preferred.
• Demonstrated ability to manage a high volume of calls while maintaining accuracy, professionalism, and strong attention to detail.
• Strong written and verbal communication skills, sound judgment, and the ability to resolve issues efficiently and professionally.
• Strong customer service experience, excellent communication skills, and the ability to work efficiently in a fast-paced healthcare environment.
• Proficiency using Microsoft Office and multiple computer systems simultaneously in a fast-paced service environment.
• Availability to work Monday through Friday from 8:30 a.m. to 5:00 p.m.
• Candidates must reside in New York State within a 40-mile radius of Rochester NY.

Nice To Haves

• provider service or health plan experience preferred

Responsibilities

• Serve as a primary point of contact for healthcare providers, delivering professional, timely, and accurate service in a high-volume call center environment.
• Handle a high volume of inbound and outbound calls, research provider inquiries, and resolve issues related to policies, procedures, claims, benefits, and other service-related questions.
• Document provider interactions accurately and completely, ensuring timely and precise data entry for every contact.
• Navigate multiple systems and databases simultaneously to access information, research issues, and deliver efficient resolution during live calls.
• Explain health plan policies, processes, and procedures clearly and confidently so providers receive accurate and consistent information.
• Develop and maintain knowledge of lines of business, provider processes, and service expectations to support high-quality interactions and issue resolution.
• Meet productivity, quality, accuracy, and compliance expectations while maintaining a positive, professional experience for providers.
• Support team and departmental goals by adapting to changing priorities and contributing to continuous improvement efforts that enhance provider service.

Benefits

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED