Healthcare Provider Specialists | Work from Home

Spoke; United States; Remote; USD 60,000 - 90,000; Full time

Job summary

Spoke seeks a Senior Provider Relations Representative – Single Case Agreement Negotiator to manage escalated provider matters, negotiate arrangements, and train to progress into leadership. You will work remotely across the United States, coordinating with internal teams and partners to ensure accurate follow-up and timely resolutions.

The role requires strong negotiation and communication skills, HIPAA compliance awareness, and the ability to multitask in a fast-paced environment.

Qualifications

• Bachelor’s degree preferred.
• Minimum 2 years in health insurance or medical offices required.
• CPT knowledge is a must.

Responsibilities

• Negotiate provider arrangements based on member requests.
• Resolve issues raised by contracted and participating providers.
• Collaborate with internal departments and business partners.
• Handle escalated matters and serve as a resource for team members.
• Monitor chat channels and email inboxes.
• Perform other projects and duties as assigned.

Skills

Contract negotiation

Communication skills

Multitasking

Team player

Independent work

Attention to detail

Follow-up

Customer service

Education

Bachelor's degree

Healthcare/Health insurance knowledge

Tools

Google Suite

Job description

Senior Provider Relations Representative – Single Case Agreement Negotiator

About the Role

Our client, a growing US healthcare services company, is hiring for its Provider Relations Department. As a Senior Provider Relations Representative, you will handle escalated matters and work closely with the current Team Lead while training to take over that position.

Position Overview

• Negotiate provider arrangements based on member requests
• Resolve issues raised by contracted and participating providers
• Work collaboratively with internal departments and business partners
• Handle escalated matters and serve as a resource for team members
• Monitor chat channels and email inboxes
• Perform other projects and duties as assigned

Requirements

• Strong contract negotiation skills
• Sound judgment to resolve complex issues and escalations
• Understands the importance of follow-up and follow-through
• Confident phone skills
• Energetic team player who is receptive to feedback
• Excellent verbal and written communication skills
• Comfortable working independently and multitasking in a high-volume, fast-paced environment
• Strong work ethic and attention to detail
• Ability to meet goals and urgent deadlines through critical thinking
• Experience with health insurance or medical offices; CPT knowledge is a must
• Adherence to HIPAA guidelines
• Excellent computer skills and knowledge of Google Suite
• Reliable high-speed internet access

Education:

Bachelor’s degree (preferred)

Experience:

Health insurance, 2 years (required)

Work Location:

Remote

Job Type:

Full-time

Schedule:

8-hour shift, Monday to Friday, no weekends