The Provider Services Representative will field inbound calls from providers related to billing and claims. Answer general questions, identify root cause of issues and provide a resolution in line with Healthfirst Policy and Procedures. Escalate issues requiring management intervention, and document all actions within Healthfirst Systems and Applications.
Please read below to be considered for a scheduled interview and for next steps.  Thank you for your interest in Healthfirst!

Office Location: 1101 Greenwood Blvd., Lake Mary, FL.
Paid Training: Starts on February 12th for 4-6 weeks, 8:30am-5:00pm or 9am-5:30pm from Monday through Friday.
Work Schedule: MUST be available to work ANY shift between 8am to 8pm including weekends and holidays as needed.
Salary: $13.94 and up hourly compensation PLUS quarterly incentives based on performance.
Benefits: Medical, Dental, Vision, Basic Life & Accident Insurance, Flexible Reimbursement Accounts, Employee Assistance Plan, Healthfirst 401(k) plan plus much more!

Duties and Responsibilities:
•    Interacting by phone with customers to provide information in response to inquiries, concerns and questions about their coverage and products Healthfirst offers.
•    Transferring calls from members to proper lines of business such as, Enrollment, Provider Services, Claims, Medical Management, etc.
•    Following-up on customer inquiries and complaints that have not been resolved.
•    Communicating effectively to members to ensure members understand expectations of their concerns.
•    Performing research on billing inquires and claims to provide payment and refunds.
•    Acting as a liaison between the member and various departments to address concerns.
•    Additional duties as assigned.

Minimum Qualifications:
•    MUST have a High School Diploma or GED equivalent from an accredited institution.
•    Working experience using a corporate email, and multiple computer based systems.
•    Working experience as a customer service or call center environment.
•    Working experience in a metrics driven environment that includes meeting call quality, scheduled adherence and average handle time metrics.
•    Flexibility to work evenings and weekends due to business needs.

Preferred Qualifications:
•    Bachelor's degree from an accredited school.
•    Previous healthcare working experience interacting with providers.
•    Previous healthcare working experience with medical billing experience.
•    Certificate in medical billing and coding.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you are interested in this position, please complete the following steps.

•   Create a candidate profile AND apply for this position using the following link: https://healthfirst.wd1.myworkdayjobs.com/healthfirst/job/Lake-Mary-FL/Part-Time-Provider-Services-Representative---Invitation-Only-Career-Event---01-16-2018_R000849.


•    Complete the mandatory TalentCentral Contact Center Online Assessment by using the following link (desktop or laptop compatible only, no mobile devices): https://talentcentral.cebglobal.com/ce/link/e823ec7eb19748c986f7614c1700aa96
•    If your assessment results are a potential match, a member of our Talent Acquisition team will call you to complete a phone screen.
•    Upon successful completion of the above steps, you will receive an email invitation to attend our career event for an in-person interview.  If you are selected and able to attend the interview, please send an email to Sade Walker at attaching your most recent resume and your confirmation of attendance.  If you are unable to attend at the proposed time, Sade can assist with a scheduling change.

IMPORTANT: Please plan to arrive no more than 15 minutes before your scheduled interview time on January 16th.  Our office is located at: 1101 Greenwood Blvd., Lake Mary. Due to limited space, we kindly ask that you not bring additional guests to this event.

Part-Time
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Job Viewed 242 Times
• Create a candidate profile AND apply for this position using the following link: https://healthfirst.wd1.myworkdayjobs.com/healthfirst/job/Lake-Mary-FL/Part-Time-Provider-Services-Representative---Invitation-Only-Career-Event---01-16-2018_R000849.
• Complete the mandatory TalentCentral Contact Center Online Assessment by using the following link (desktop or laptop compatible only, no mobile devices): https://talentcentral.cebglobal.com/ce/link/e823ec7eb19748c986f7614c1700aa96
• If your assessment results are a potential match, a member of our Talent Acquisition team will call you to complete a phone screen.
• Upon successful completion of the above steps, you will receive an email invitation to attend our career event for an in-person interview. If you are selected and able to attend the interview, please send an email to Sade Walker at attaching your most recent resume and your confirmation of attendance. If you are unable to attend at the proposed time.

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