Provider Relations Representative - Onsite

Provider Service Representative – Entry-Level (High School Graduate)  This is an Onsite Position 

Position Summary: 
The Provider Relations Specialist serves as a key point of contact between healthcare providers and ProviDRs Care. This role ensures providers receive timely support, information, and assistance with administrative and operational processes. It’s ideal for a candidate with strong communication and organizational skills, even without a college degree. 

Key Responsibilities: 

• Provider Communication: 
  

Respond to phone calls and emails from providers regarding claims, billing, authorizations, and general inquiries. 

• Issue Resolution: 
  

Assist in resolving provider concerns by collaborating with internal departments such as Claims, Member Services, and Credentialing. 

• Data Entry & Records Management: 
  

Maintain accurate provider records in internal systems, including contact information, contract status, and documentation. 

• Support Provider Onboarding: 
  

Help onboard new providers by collecting forms and documents, and guiding them through ProviDRs Care procedures. 

• Training & Materials Distribution: 
  

Distribute educational materials and updates about system changes or policy updates to providers. 

• Compliance & Documentation: 
  

Ensure all provider interactions and updates are documented accurately for reporting and compliance purposes. 

Qualifications: 

• Education: 
  

High School Diploma or GED required. 

• Preferred Experience: 
  

1–2 years of customer service, healthcare administration, medical office, or insurance experience (but not always required). 

• Skills & Abilities: