Senior Provider Relations & Compliance Advocate

Independent Living Systems, llc; Miami (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

Independent Living Systems seeks a Senior Provider Services Advocate to join our Miami team. The role champions provider needs, resolves complex service, billing and compliance issues, and guides providers through regulatory processes.

The position emphasizes building strong provider relationships, improving service delivery, and driving continuous provider satisfaction and operational efficiency within our health plans.

Qualifications

• High School Diploma/GED required.
• Two years experience in customer service.
• Knowledge of automated systems and technical adeptness.
• Demonstrated proficiency in Microsoft programs (i.e., Excel, Word, PowerPoint).

Responsibilities

• Demonstrate commitment to Our Mission and models ILS Experience Standards of Excellence.
• Serve as a primary point of contact for healthcare providers, addressing inquiries and resolving issues related to claims, billing, credentialing and compliance.
• Collaborate with internal teams such as claims, credentialing, provider relations, network management and other stakeholders to facilitate timely and accurate provider support.
• Document and handle escalated provider concerns with professionalism and urgency, ensuring resolution aligns with organizational standards and provider expectations.
• Educate providers on organizational policies, procedures, and regulatory requirements to ensure compliance and effective service utilization.
• Analyze provider feedback and operational data to identify trends and recommend process improvements that enhance provider experience.

Skills

Customer service

Data analytics

Automated systems

Microsoft Office proficiency

Education

Associate's degree in Healthcare Administration or related discipline

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

Independent Living Systems seeks a Senior Provider Services Advocate to join our Miami team. The role champions provider needs, resolves complex service, billing and compliance issues, and guides providers through regulatory processes.

The position emphasizes building strong provider relationships, improving service delivery, and driving continuous provider satisfaction and operational efficiency within our health plans.