Provider Representative

  • Location
    San Juan, Puerto Rico
  • Salary
    $13.00/Hour
  • Category
    Call Center & Customer Service - Customer Service

Primary Responsibilities:

Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)

Provides customer service support to providers through live chat, to give updates on their member's eligibility status or claims status and validates state specific requirements for claims and benefits processing.

Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to caller

Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff

Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends Required Qualifications:

1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools

Microsoft and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications

Available to work (40 hours/week) Monday- Friday. Flexible to work any of our 8 hour shift schedules during our normal business hours of (8:00am to 9:00pm AST)

Bilingual Spanish/English proficiency Preferred Qualifications:

Healthcare experience

Salary: $13p/h

Onsite

13 weeks of training (candidates should not have any PTO that conflict with training)

Candidates will have to take2 English Assessments (1 verbal and 1 written) because, as part of their role, they will be answering inbound calls as well as supporting through a live chat. 

 



Pay Details: $13.00 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance

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Reference number US_EN_99_027406_2326754