Provider Relations Specialist Position Available In Seminole, Florida
Tallo's Job Summary: Provider Relations Specialist position available in Lake Mary, FL, with a pay rate of $16/hr. Responsibilities include assisting providers with bill review questions, documenting errors, and ensuring compliance with company standards. Fully remote after 2-week onsite training. Previous experience in provider relations, claims, or workers' compensation preferred.
Job Description
Description:
Assists providers via phone and email with basic to complex bill review questions and requests. Documents bill review errors for tracking and trending to improve team error rate. Acts as a positive and professional representative of our organization; ensures compliance with company best practice standards; ensure consistent, timely delivery of our quality services. Fully Remote after 2-week onsite training period. Must be commutable to Lake Mary, FL
ESSENTIAL FUNCTIONS & RESPONSIBILITIES
Communicate clearly and professionally with callers and via email. Maneuver in the bill review application to obtain accurate information for the callers. Understand EORs as well as client-specific nuances. Answer basic to complex State WC fee schedule and/or billing questions on processed medical bills covering regular as well as facility bill types Understand and be able to properly explain provider contracted rates, carve-outs and special LOAs applied to medical bills Requires regular and consistent attendance. Ability to control phone calls to ensure timely resolution and lower provider hold times. Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (“IIPP”).
KNOWLEDGE & SKILLS
Previous experience within provider relations, bill review, claims, workers compensation, etc. Customer service experience working in the Managed Care and Benefit Administration industries, preferred. Excellent oral and written communication skills Strong customer service skills and experience Strong organizational skills. Excellent interpersonal skills High School Diploma or equivalent required.
Details:
Fully remote after 2-week onsite training period. Equipment is provided
Pay:
$16/hr.
- $18/hr. Pay cycle
- weekly | Medical, Dental & Vision benefits offered.
Training Schedule:
Monday
- Friday | 8-hour shift between 8:00am
- 5:00pm EST.
- Training will be fully onsite for the first 2 weeks. Must be commutable to Lake Mary, FL Full time schedule: Monday
- Friday | 7:00am
- 330pm, 8:00am
- 430pm, or 8:30am
- 5:00pm EST.
Flexibility to choose either shift as long as it’s consistent.
