Provider Relations Representative
Studio City, CA Studio City, CA Full-time Full-time $22.
71 an hour $22.
71 an hour 13 days ago 13 days ago 13 days ago Motion Picture Industry Pension & Health Plans (MPI) has an opening for a Provider Relations Representative to join our team! The Representative reviews escalated health claims for reconsideration, confirms accumulator benefits to outside vendors, and communicates with participants and providers' offices about claims and benefit issues.
Qualifications:
High school Diploma or GED required.
Some college preferred Minimum 2 years of customer service phone experience Minimum 1 year of healthcare/insurance experience Accurate typing skills of 45 wpm 10 key skills by touch, preferred Proficient PC skills, including Windows; MS Word and MS Excel Clear and effective oral and written communication skills with the ability to explain and confirm understanding of complex issues Excellent mathematical and analytical skills Pleasant and professional telephone etiquette.
Articulate, clear telephone voice.
Able to handle fast-paced work and meet deadlines Motivated self-starter, well organized in managing time and materials Strong attention to detail, a high level of accuracy required Able to learn quickly and follow through to completion Good interpersonal skills, ability to interact effectively and cooperatively with callers, and co-workers at all levels of the organization A flexible team player with a positive, cooperative and helpful attitude and displays excellent collaboration skills Excellent attendance and reliability, with the ability to work overtime/extended hours as required.
Ability to accept direction and developmental guidance from supervisor.
Essential Duties and
Responsibilities:
Review and process a high-volume of claim requests for reconsideration Document issues and actions effectively and efficiently utilizing internal systems Make outbound calls to our participants and/or providers regarding the status of a claim Contact provider's regarding misrouted or unidentified claims Contact provider's requesting additional information (medical records, consultation notes, progress notes and prescriptions) Provide accumulator benefits to our external medical partners Perform other duties as assigned.
Work Environment This job operates in a professional office environment.
It routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines.
Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job.
While performing the duties of this job the employee may be required to:
Sit Stand and walk Spend extensive time working on a computer Talk and hear Use hands Reach with hands and arms Stoop and reach Lift and/or move up to 10 pounds and occasionally lift and/or move up to 30 pounds (such as a box of paper).
Use close vision with the ability to adjust focus Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.
Duties, responsibilities, and activities may change at any time with or without notice.
Job Type:
Full-time Pay:
$22.
71 per hour
Benefits:
Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance Schedule:
Day shift Monday to Friday Ability to commute/relocate:
Studio City, CA 91604:
Reliably commute or planning to relocate before starting work (Required) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
71 an hour $22.
71 an hour 13 days ago 13 days ago 13 days ago Motion Picture Industry Pension & Health Plans (MPI) has an opening for a Provider Relations Representative to join our team! The Representative reviews escalated health claims for reconsideration, confirms accumulator benefits to outside vendors, and communicates with participants and providers' offices about claims and benefit issues.
Qualifications:
High school Diploma or GED required.
Some college preferred Minimum 2 years of customer service phone experience Minimum 1 year of healthcare/insurance experience Accurate typing skills of 45 wpm 10 key skills by touch, preferred Proficient PC skills, including Windows; MS Word and MS Excel Clear and effective oral and written communication skills with the ability to explain and confirm understanding of complex issues Excellent mathematical and analytical skills Pleasant and professional telephone etiquette.
Articulate, clear telephone voice.
Able to handle fast-paced work and meet deadlines Motivated self-starter, well organized in managing time and materials Strong attention to detail, a high level of accuracy required Able to learn quickly and follow through to completion Good interpersonal skills, ability to interact effectively and cooperatively with callers, and co-workers at all levels of the organization A flexible team player with a positive, cooperative and helpful attitude and displays excellent collaboration skills Excellent attendance and reliability, with the ability to work overtime/extended hours as required.
Ability to accept direction and developmental guidance from supervisor.
Essential Duties and
Responsibilities:
Review and process a high-volume of claim requests for reconsideration Document issues and actions effectively and efficiently utilizing internal systems Make outbound calls to our participants and/or providers regarding the status of a claim Contact provider's regarding misrouted or unidentified claims Contact provider's requesting additional information (medical records, consultation notes, progress notes and prescriptions) Provide accumulator benefits to our external medical partners Perform other duties as assigned.
Work Environment This job operates in a professional office environment.
It routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines.
Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job.
While performing the duties of this job the employee may be required to:
Sit Stand and walk Spend extensive time working on a computer Talk and hear Use hands Reach with hands and arms Stoop and reach Lift and/or move up to 10 pounds and occasionally lift and/or move up to 30 pounds (such as a box of paper).
Use close vision with the ability to adjust focus Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.
Duties, responsibilities, and activities may change at any time with or without notice.
Job Type:
Full-time Pay:
$22.
71 per hour
Benefits:
Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance Schedule:
Day shift Monday to Friday Ability to commute/relocate:
Studio City, CA 91604:
Reliably commute or planning to relocate before starting work (Required) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
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