Provider Services Representative

6 days ago


Richmond, United States Medix Full time
Are you currently in the job market for a full time role? Medix is hiring a Remote Provider Service Representaitves for a well known healthcare organization in Richmond, VA. Candidates must reside in a the EST timezone.

Job Requirements:
  • Experience in a high volume call center
  • Expereince and knowledge of health insurance plans
  • Expereince in Provider Services
  • Strong customer service skills

Job Overview:
  • Responsible for developing and maintaining positive relationships with providers. Duties include, but are not limited to; Able to answer questions about (member services) eligibility/benefits/admin, claims inquiries and (provider services) claims inquiries, authorizations, appeal status, eligibility etc.
  • Responsible for all areas of customer service as it pertains to research and resolution of telephone inquiries related to Plan prescription benefits, eligibility or claim payment issues. Provide quality service and customer satisfaction through effective communication and education.
  • Handle (average) 50-70 inbound calls daily Sentara Health Plans is the health insurance division of Sentara Healthcare doing business as Optima Health and Virginia Premier

Candidate from the following states are eligible:
  • Delaware
  • Florida
  • Georgia
  • Maine
  • Maryland
  • New Hampshire
  • Pennsylvania
  • South Carolina
  • West Virginia

Other Information:
  • Equipment witll be provided for the representative.
  • Pay: 17-19 per hour

Medix is acting as an Employment Agency in relation to this vacancy.

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