Provider Relations Specialist

TEKsystems
$16.00 - $18.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, Florida, Lake Mary
Apr 17, 2025
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. Pay and Benefits The pay range for this position is $16.00 - $18.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Lake Mary,FL. Application Deadline This position is anticipated to close on Apr 25, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.