Provider Service Representative
Found in: Lensa US
Provider Service RepresentativeLocation:
Indianapolis, INJob Description
- Responsible for the education and servicing of assigned provider groups regarding all aspects of the Plan and its subsidiaries
- Responsible for assisting in the development of policy, procedures, and educational materials for use with all Provider Programs and for the development of benchmarks to measure performance against the Plan's goals
- Establishes and maintains effective relationships with key physicians and office staff of contracted medical delivery entities (i.e., provider offices, specialists, etc.).
- Responsible for contracting of PCP's, Specialists, and Ancillary providers in their defined servicing area
- Responsible for claims research and resolution. All duties are to be carried out in collaboration with the contracting staff and other key senior staff as appropriate.
- Associates or higher - Required
- Two (2) years' experience and knowledge of HMO, PPO, TPA, PHO and Managed Care claims operations or provider billing functions - Required
- Microsoft Excel Test and Data Entry Test results included ins Submission-Required
- Provider Service Representative, CSR, Customer service, insurance representative, etcAs an equal opportunity employer, ICONMA prides itself on creating an employment environment that supports and encourages the abilities of all persons regardless of race, color, gender, age, sexual orientation, citizenship, or disability.
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