Provider Support & Relations Specialist I

CareMore Health Management Services, LLC; Arizona; Hybrid; 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 about eligibility, referrals, claims, and credentialing status.

You will follow established workflows, document interactions in CRM, and route more complex issues to the right team, under close supervision while building foundational provider relationship skills.

Qualifications

• High school diploma or equivalent; 0-1 year of customer service or healthcare operations 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.
• Basic proficiency with computer applications and ability to learn CRM, provider management, and related operational systems.
• Strong verbal and written communication skills with providers and internal stakeholders.
• Ability to organize assigned work, maintain accurate records, and meet quality and productivity expectations.

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 elevate 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.

Skills

Customer service basics

Healthcare operations

Written communication

Procedures adherence

CRM proficiency

Education

High school diploma or equivalent

Tools

CRM systems

Provider management systems

Job description

CareMore Health Management Services, LLC is seeking a Provider Relationship Specialist I to support contracted providers by answering routine inquiries about eligibility, referrals, claims, and credentialing status.

You will follow established workflows, document interactions in CRM, and route more complex issues to the right team, under close supervision while building foundational provider relationship skills.