What are the responsibilities and job description for the Provider Services Representative, MI - Remote position at McLaren Integrated HMO Group?
Position Summary
This position will be responsible for daily provider telephone calls which will include problem solving, eligibility, benefit, and resolution of claims issues.Assists in providing linkage to the Medical Management Department for authorization of services. Being an advocate for the Provider, supplying information and education, working with Provider Relations to handle issues.Also responsible for assisting members with eligibility, benefit, and resolution of claims issues as needed.
This position is fully remote.
Equal Opportunity Employer of Minorities / Females / Disabled / Veterans
LI-AK1
Qualifications : Required :
- High School Diploma or equivalent certification
- Two (2) years’ experience in a in a physician health care office environment or high-volume call center
Preferred :
