Provider Field Representative

Jobtailor; California (MO); On-site; USD 65,000 - 85,000; Full time

Job summary

Jobtailor in the United States is seeking a Provider Billing Specialist to act as a critical link between providers, customers, and internal teams. You will manage inquiries, research claims, and deliver training across groups while ensuring Medi-Cal compliance.

The ideal candidate has 3+ years in healthcare billing, CMS-1500/UB-04 knowledge, and strong Excel reporting skills. Travel to regional sites is required as needed.

Qualifications

• Three or more years of experience in the healthcare industry, including insurance, provider support, IT, or operations.
• ProviderBilling experience required; CMS-1500 and UB-04 knowledge preferred.
• Hands-on experience researching, resolving, and educating providers on claims processing, billing, and reimbursement; Medi-Cal or Medicaid experience preferred.
• Strong analytical, organizational, and time-management skills with the ability to manage multiple priorities.
• Proficiency in Microsoft Excel for tracking, analysis, and reporting.

Responsibilities

• Serve as a liaison between providers, customers, and internal teams.
• Ensure effective communication, timely issue resolution, and proactive engagement.
• Manage inquiries, research, outreach, and training from onset to completion.
• Enhance service quality and ensure Medi-Cal program compliance.
• Conduct thorough claims research, provide billing support, and resolve complex issues.
• Facilitate and deliver engaging training sessions for small and large groups.
• Provide personalized, one-on-one customer support for billing questions.

Skills

Customer service mindset

Verbal communication

Written communication

Analytical skills

Time management

Organizational skills

Travel willingness

Tools

Microsoft Excel

Job description

Role responsibilities

• Serve as a critical link between providers, customers, and internal teams
• Ensure effective communication, timely issue resolution, and proactive engagement
• Manage inquiries, research, outreach, and training from onset to completion
• Enhance service quality and ensure Medi-Cal program compliance
• Conduct thorough claims research, provide billing support, and resolve complex issues
• Facilitate and deliver engaging training sessions for small and large groups
• Provide personalized, one-on-one customer support for billing questions

Requirements

• Strong customer service mindset with excellent verbal and written communication skills
• Three or more years of experience in the healthcare industry, including insurance, provider support, IT, or operations
• Provider billing experience required; working knowledge of CMS-1500 and UB-04 claim forms preferred
• Hands-on experience researching, resolving, and educating providers on claims processing, billing, and reimbursement; Medi-Cal or Medicaid experience preferred
• Strong analytical, organizational, and time-management skills with the ability to manage multiple priorities
• Proficiency in Microsoft Excel for tracking, analysis, and reporting
• Willingness and ability to travel within one or more geographic regions to support provider outreach, training, and relationship-building activities

Core Competencies

Demonstrates expertise in provider billing, claims processing, and compliance with Medi-Cal program standards, while effectively managing customer inquiries and delivering training sessions. Strong analytical and organizational skills support proactive engagement and issue resolution.

Highest-signal resume keywords

• Provider Billing Experience
• Claims Processing Knowledge
• Medi-Cal Compliance
• Microsoft Excel Proficiency
• Customer Service Mindset

ATS Optimization Keywords

Hard Skills

• Claims Research
• Billing Support
• Issue Resolution
• Training Facilitation
• Analytical Skills

Soft Skills

• Verbal Communication
• Written Communication
• Organizational Skills
• Time Management
• Customer Engagement

Industry Keywords

• Healthcare Industry
• CMS-1500
• UB-04
• Medi-Cal
• Medicaid