[Remote] Provider Services Representative

Note: The job is a remote job and is open to candidates in USA. MVP Health Care is a not-for-profit organization dedicated to creating a healthier future for everyone. The Provider Services Representative will serve as a primary point of contact for healthcare providers, delivering professional and accurate service in a high-volume call center environment.

Responsibilities

• Serve as a primary point of contact for healthcare providers, delivering professional, timely, and accurate service in a high-volume call center environment
• Handle a high volume of inbound and outbound calls, research provider inquiries, and resolve issues related to policies, procedures, claims, benefits, and other service-related questions
• Document provider interactions accurately and completely, ensuring timely and precise data entry for every contact
• Navigate multiple systems and databases simultaneously to access information, research issues, and deliver efficient resolution during live calls
• Explain health plan policies, processes, and procedures clearly and confidently so providers receive accurate and consistent information
• Develop and maintain knowledge of lines of business, provider processes, and service expectations to support high-quality interactions and issue resolution
• Meet productivity, quality, accuracy, and compliance expectations while maintaining a positive, professional experience for providers
• Support team and departmental goals by adapting to changing priorities and contributing to continuous improvement efforts that enhance provider service

Skills

• High school diploma or equivalent required
• 1–3 years of customer service, call center, or healthcare administrative experience; provider service or health plan experience preferred
• Demonstrated ability to manage a high volume of calls while maintaining accuracy, professionalism, and strong attention to detail
• Strong written and verbal communication skills, sound judgment, and the ability to resolve issues efficiently and professionally
• Strong customer service experience, excellent communication skills, and the ability to work efficiently in a fast-paced healthcare environment
• Proficiency using Microsoft Office and multiple computer systems simultaneously in a fast-paced service environment
• Availability to work Monday through Friday from 8:30 a.m. to 5:00 p.m
• Provider service or health plan experience preferred

Benefits

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace

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