Provider Service Representative

Exciting new insurance provider or member service representative role- are you looking for a health insurance call center role? We are currently hiring a Provider Services Representatives and Memeber Services Representatives! See details below and apply now if interested!

Please note: this role is 3-6 months in person training in Richmond OR Virginia Beach then remote

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Hours: Training: M-F 8am-5pm in person (3-6 months). After Training: 8am-8pm (8 hours within there). Can work remotely after training.

Overview: Call Center environment where you will 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.