Provider Specialist

Employee Type: Temp to Hire
Experience: 3+ years
Location: South Austin
Job Reference #: 30-100578-WH17
Salary: $16/hr
Company Industry: Healthcare Customer Service
Job Title: Provider Specialist

Position Summary


Burnett is so excited to be partnering with a great managed healthcare company located in South Austin. They are growing quickly and are adding a new division of Customer Support. Currently they are looking to add several top Provider Service Representatives to the new team.

The main duties of this role will be educating medical providers by answering questions and solving provider inquiries via telephone and written correspondence.

Top Candidates Will Have: 

- High school diploma or equivalent (required) 
- 3+ years of call center customer service experience in a healthcare or insurance environment 
- 1+ years of managed care experience (preferred) 
- Claims processing, billing and/or coding experience (preferred)

Responsibilities for Provider Specialist


Position Responsibilities: 

- Document all activities for reporting and resolution through the customer relationship management application (CRM) 
- Answer inquiries from providers regarding claim, eligibility, covered benefits, authorization status issues 
- Provide first call resolution through issue documentation and resolution with appropriate internal resource, follow-up and ensure closure with the contact who initiated the inquiry 
- Respond appropriately to provider issues and concerns, and provide trending feedback to improve the customer experience 
- Process customer correspondence and provide the appropriate level of timely follow up 
- Manage service related follow up items and outstanding tasks in accordance with established turnaround times 
- Provide assistance to provider regarding website registration, navigation and customer related inquires 
- Educate provider on health plan initiatives during interactions with providers via telephone 
- Maintain performance and quality standards based on established call experience guidelines 
- Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations’ team for claim adjustment 
- Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service , quality improvement and call reduction

Qualifications for Provider Specialist


Top Candidates Will Have: 

- High school diploma or equivalent (required) 
- 3+ years of call center customer service experience in a healthcare or insurance environment 
- 1+ years of managed care/healthcare experience (preferred) 
- Claims processing, billing and/or coding experience (preferred)

Compensation & Benefits for Provider Specialist


These roles are temp-to-hire. Hours are Monday-Friday, 8am-6pm. Pay will be $16/hr while temp. Once the roles go perm the company offers excellent benefits!

As a Burnett/Choice temporary or contract employee, you can benefit from Weekly Pay, Direct Pay Deposit, Global Card Paycard, Medical Indemnity Plan, Free Online Training, and Credit Union Membership (Houston, El Paso, Dallas, San Antonio). Plus, the ability to earn Service Bonuses, Holiday Pay, Referral Bonuses, and company ownership in our Employee Stock Option Plan.

Position Type for Provider Specialist


Temp to Hire

If you have questions concerning this position, please contact  Wendy Henderson.
Thank you for choosing Burnett Specialists.    Equal Opportunity Employer M/F/D/V

Meet your Recruiter


Wendy Henderson
Austin Operations Manager
Company Name:   Burnett Specialists