Provider Relationship Specialist I

CareMore Health Management Services, LLC; Phoenix (AZ); On-site; USD 28,000 - 41,000; Full time

Job summary

CareMore Health Management Services, LLC is seeking a Provider Relationship Specialist I to support contracted providers by answering routine inquiries and guiding them through eligibility, referrals, and credentialing processes.

You will document interactions in CRM, follow established workflows, and escalate issues as needed while building foundational skills in provider relationship management. This role offers growth within a structured, team-driven environment.

Qualifications

• High school diploma or equivalent required.
• 0–1 year of customer service, healthcare operations, administrative support, or related experience preferred.
• Basic knowledge of customer service and administrative practices; healthcare/provider operations experience is a plus.
• Ability to follow established procedures, workflows, and documentation standards accurately.

Responsibilities

• Respond to routine provider inquiries regarding eligibility, referrals, claims, credentialing status, and basic operational processes.
• Provide standard information about provider processes, tools, portal resources, and required next steps.
• Document provider interactions, case details, actions taken, and required follow-up in CRM and tracking systems.
• Complete routine research and follow-up using established workflows and reference materials.
• Route or escalate provider issues to the appropriate team when needed.

Skills

Customer service

CRM familiarity

Communication skills

Attention to detail

Time management

Education

High school diploma or equivalent

Tools

CRM

Provider management systems

Job description

Job Description SummarySupports contracted providers by responding to routine inquiries related to eligibility, referrals, claims, credentialing status, and basic operational processes. Uses established workflows and available resources to provide standard information, document interactions, complete routine follow-up, and route issues requiring additional review to the appropriate resource.Provider Relationship Specialist I performs routine, well-defined work under close supervision while building foundational skills in the provider relationship management function. Decisions reference established checklists and procedures, and impact the accuracy of own work. This job follows defined parameters and standard processes, with work reviewed routinely by more experienced staff.How will you make an impact & RequirementsKEY RESPONSIBILITIES• Respond to routine provider inquiries related to eligibility, referrals, claims, credentialing status, and established operational processes using approved procedures and resources.• Provide standard information regarding provider processes, tools, portal resources, and required next steps.• Document provider interactions, case details, actions taken, and required follow-up accurately in CRM and applicable tracking systems.• Complete routine research and follow-up using established workflows, reference materials, and internal systems.• Route or escalate provider issues that cannot be resolved through established procedures to the appropriate team or more experienced resource.• Participate in training and onboarding activities to build foundational knowledge of provider operations, network processes, systems, and service standards.• Complete assigned work in accordance with established quality, accuracy, productivity, and service expectations.QUALIFICATIONS• High school diploma or equivalent required; 0–1 year of customer service, healthcare operations, administrative support, or related experience.• Basic knowledge of customer service and administrative support practices; healthcare or provider operations experience preferred.• Ability to follow established procedures, workflows, documentation standards, and escalation protocols accurately and consistently.• Basic proficiency with computer applications and ability to learn CRM, provider management, and related operational systems.• Strong verbal and written communication skills with the ability to provide clear and professional information to providers and internal stakeholders.• Ability to organize assigned work, maintain accurate records, and meet established quality and productivity expectations.Compensation Range:$20.00to$30.00The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.