Provider Servicing Coordinator: Group & Claims Liaison

Provider Network Solutions LLC; Miami (FL); On-site; USD 42,000 - 64,000; Full time

Job summary

Provider Network Solutions LLC in Miami, FL, seeks a detail-oriented professional to support the Provider Servicing Manager, handle incoming inquiries from groups, providers, and hospitals, and assist with issue resolution across the network.

You will coordinate group submissions, review paperwork, liaise with health plans, and maintain databases. The ideal candidate has 1+ years in customer service or claims and strong communication, problem-solving, and teamwork skills.

Qualifications

• Associate’s degree preferred or equivalent directly related experience.
• Minimum 1+ years’ experience in customer service or claims with exposure to problem resolution.

Responsibilities

• Assist with resolving customer service and claims issues.
• Coordinate group updates, rosters, and group applications with internal and external partners.
• Review and process incoming/outgoing paperwork for groups.
• Liaise with health plans and providers for servicing and contracting details.
• Audit group submissions and maintain records in databases.
• Support special projects as assigned.

Skills

Problem-solving

Communication skills

Deductive Reasoning

Teamwork

Independent work

Bi-lingual

Education

Associate degree or equivalent

Tools

Microsoft Office

Job description

Provider Network Solutions LLC in Miami, FL, seeks a detail-oriented professional to support the Provider Servicing Manager, handle incoming inquiries from groups, providers, and hospitals, and assist with issue resolution across the network.

You will coordinate group submissions, review paperwork, liaise with health plans, and maintain databases. The ideal candidate has 1+ years in customer service or claims and strong communication, problem-solving, and teamwork skills.