Provider Specialist Level I

A Provider Specialist Level 1 will represent Provider Relations in an inbound call center setting. This role will require the Specialist to answer a variation of calls from the MedRisk Network’s Providers that will include questions, concerns, updates, complaints and Network Participation as well as work all inboxes and assist on Special Projects as needed.

Primary Duties & Responsibilities

• Receive inbound phone and Email requests from both in and out network Providers maintaining satisfaction by yielding primary level information and addressing day to day provider inquiries.
• During inbound calls, the Provider Specialist will educate providers regarding their network status, contractual obligations, credentialing status, rates, etc.
• Receive/Transfer internal calls from/to Scheduling, Patient Advocacy, Customer Support and Claims Inquiry departments.
• The Provider Specialist will thorough documentation of conversations communica...