Customer Service Representative- Provider Services
UPMC is a healthcare provider dedicated to delivering exceptional service and support. As a Provider Service Representative, you will be the primary point of contact for providers, assisting them with claims, benefits, and authorizations while ensuring clear and professional communication.
Responsibilities
- Be the primary point of contact for providers and vendors—answering questions about claims, benefits, authorizations, billing, and network participation
- Respond to inbound calls, emails, and chats with professionalism and accuracy
- Explain processes and policies clearly so providers know exactly what to do next
- Research claims and benefits to provide timely, informed solutions
- Document every interaction accurately in our systems
- Navigate multiple tools while staying focused and responsive
- Make outbound calls to provide updates or resolve issues
- Stay current on policies and system updates through ongoing training
- Collaborate with your team and participate in skill-building sessions
Skills
- High school graduate or equivalent
- 2 years customer service experience or call center experience required OR 1 year health insurance call center and claims adjustments experience required
- Proficient in typing and writing skills required
- Ability to make independent decisions required
- Complex analytical skills necessary to evaluate customer inquiries
- Demonstrates good organizational skills
- A desire to help others and portray empathy in all situations
- Ability to learn complex health plan information
- Demonstrate flexibility and motivation to learn & grow in the position
- Flexibility in work schedule
- Knowledge of Microsoft Office and Excel spreadsheet program preferred
Benefits
- Health, dental, vision, and more
Company Overview
Company H1B Sponsorship