Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on provider relations and service quality
- Engaging work with a focus on member care and satisfaction
- Work with a company recognized among the nation's top health plans for member experience and clinical quality

What to Expect (Job Responsibilities):
- Respond to inquiries and requests from physicians, hospitals, and ancillary providers regarding services and operational concerns
- Act as the primary point of contact for assigned providers, addressing escalated service issues
- Analyze and resolve provider issues using appropriate internal resources
- Maintain detailed documentation and monitor the status of cases within the QNXT system
- Validate and update provider demographic and practice changes in the system as requested

What is Required (Qualifications):
- Bachelor's degree or equivalent combination of training and experience
- Minimum of 2 years' experience in a customer service role within a healthcare services organization
- Proficiency with desktop computer applications, including Microsoft Office, and familiarity with mainframe systems (QNXT/eVips)
- Knowledge of medical terminology and claims payment, including ICD and CPT coding
- Exceptional written and verbal communication skills

How to Stand Out (Preferred Qualifications):
- Experience participating in provider meetings and supporting provider enrollment initiatives
- Familiarity with provider contract knowledge and managing provider data updates
- Strong organizational skills with the ability to prioritize multiple tasks effectively

#HealthcareServices #ProviderRelations #CustomerService #CareerOpportunity #HealthInsurance

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