Provider Services Specialist (Contract)

Kore1; Rancho Cucamonga (CA); On-site; USD 60,000 - 80,000; Full time

Job summary

A recruiting firm is looking for a Contract Medical Provider Services Representative to join a large healthcare organization in Ontario, California. The role involves training and orientation for providers, acting as a liaison to resolve concerns, and interpreting eligibility and claims information. Candidates should have over 3 years of managed care experience, strong customer service skills, and proficiency in Microsoft Office. This is an excellent opportunity to impact provider relations in the healthcare industry.

Qualifications

• 3+ years of experience with managed care and knowledge of Medical Group, IPA and HMO operations.
• Extensive customer service experience is essential.
• Must possess excellent written and verbal communication skills.

Responsibilities

• Perform new Provider orientations and provide training to office staff.
• Act as liaison between providers and client departments to resolve concerns.
• Monitor and support Providers using utilization reports and quality data.

Skills

Customer service experience

Communication skills

Managed care knowledge

Microsoft Office proficiency

Education

High school diploma

Job description

A recruiting firm is looking for a Contract Medical Provider Services Representative to join a large healthcare organization in Ontario, California. The role involves training and orientation for providers, acting as a liaison to resolve concerns, and interpreting eligibility and claims information. Candidates should have over 3 years of managed care experience, strong customer service skills, and proficiency in Microsoft Office. This is an excellent opportunity to impact provider relations in the healthcare industry.