Provider Services Representative

• Growth opportunities to uplevel your career

• A people-centric culture embracing and celebrating diverse perspectives backgrounds and experiences within our team

• Competitive compensation and comprehensive benefits focused on well-being

• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District one of the Best Companies to Work For in New York and an Inclusive Workplace.

Youll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation humility to collaborate as a team and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier more vibrant communities.

Qualifications youll bring:

• High school diploma or equivalent required.
• 13 years of customer service call center or healthcare administrative experience; provider service or health plan experience preferred. Recent college graduates with relevant coursework internships or strong customer service experience are also encouraged to apply
• Demonstrated ability to manage a high volume of calls while maintaining accuracy professionalism and strong attention to detail.
• Strong written and verbal communication skills sound judgment and the ability to resolve issues efficiently and professionally.
• Strong customer service experience excellent communication skills and the ability to work efficiently in a fast-paced healthcare environment.
• Proficiency using Microsoft Office and multiple computer systems simultaneously in a fast-paced service environment.
• Availability to work Monday through Friday from 8:30 a.m. to 5:00 p.m.

Your key responsibilities:

• Serve as a primary point of contact for healthcare providers delivering professional timely and accurate service in a high-volume call center environment.
• Handle a high volume of inbound and outbound calls research provider inquiries and resolve issues related to policies procedures claims benefits and other service-related questions.
• Document provider interactions accurately and completely ensuring timely and precise data entry for every contact.
• Navigate multiple systems and databases simultaneously to access information research issues and deliver efficient resolution during live calls.
• Explain health plan policies processes and procedures clearly and confidently so providers receive accurate and consistent information.
• Develop and maintain knowledge of lines of business provider processes and service expectations to support high-quality interactions and issue resolution.
• Meet productivity quality accuracy and compliance expectations while maintaining a positive professional experience for providers.
• Support team and departmental goals by adapting to changing priorities and contributing to continuous improvement efforts that enhance provider service.

Where youll be:

Location: This is a virtual position. Candidates must reside in New York State within a 40-mile radius of Rochester NY

Although this role is virtual initial training must be completed in the office and may extend through the probationary period.

Pay Transparency

MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors including but not limited to geographic location; relevant experience education and training; and the nature of and demand for the role.

We do not request current or historical salary information from candidates.

MVPs Inclusion Statement

At MVP Health Care we believe creating healthier communities begins with nurturing a healthy workplace. As an organization we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger and our unique perspectives are catalysts for creativity and collaboration.

MVP is an equal opportunity employer and recruits employs trains compensates and promotes without discrimination based on race color creed national origin citizenship ethnicity ancestry sex gender identity gender expression religion age marital status personal appearance sexual orientation family responsibilities familial status physical or mental disability handicapping condition medical condition pregnancy status predisposing genetic characteristics or information domestic violence victim status political affiliation military or veteran status Vietnam-era or special disabled Veteran or other legally protected classifications.

To support a safe drug-free workplace pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability please contact our Talent team at.