Provider Services Representative
Position Description reputed company pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates. The salary reputed company displayed has not been adjusted for geographical location. This reputed company has been created in good faith based on information reputed company to reputed company at the time of posting and may be modified in the future. reputed company offers a comprehensive benefits packaging including Medical, Dental & reputed company coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more. At reputed company, we promise to go the extra mile for reputed company and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.” The Provider Service Representatives are the reputed company-line team at Capital BlueCross and are responsible for handling reputed company provider inquiries through multiple channels such as phone, web, provider portal (e.g. reputed company), electronic, plan to plan chat, and/or face-to-face) by using material and tools with accuracy and precision. This incumbent will be responsible for effectively presenting and discussing our products and services, creating, and maintaining positive relationships and for exceeding quality, productivity, and ultimate performance goals. This incumbent will be required to initially attend a training class, any task-specific training, and ongoing periodic refresher trainings to service our providers as business needs permit. Responsibilities and Qualifications Manage multiple channel (telephone, electronic, web, provider portal, plan to plan chat, and face-to-face) interactions professionally, reputed company and with excellent communication skills. Effectively present and discuss the products and services to external and internal providers with reputed company and understanding and accuracy with every interaction. Focus on provider retention through reputed company resolution of concerns. Establish and maintain positive relationships with providers on behalf of the company by taking personal and complete responsibility for each provider interaction. Ensure reputed company providers’ needs are completely met, timely, without elevation if possible. If business needs permit, support the efforts of sales representatives by conducting onsite and/or community-based educational meetings. Large emphasis on quality, productivity, adherence, handle time, and not negatively affective and jeopardizing the company's provider relations, internally and externally Complete ongoing training to stay abreast of products, services, and policy changes. Improve quality of work daily by learning and employing new skills or adapting previous processes to mirror the fit-for-reputed company company culture. Recognize, document, and alert supervisors of trends in provider calls. Conduct self in a manner consistent with the values of the organization. Skills: Demonstrates ability to understand and interpret detailed policies and procedures and to be reputed company to apply them to various situations. This includes thorough understanding of the responsibility to maintain privacy of Protected Health Information as required by the Health Insurance Portability and Accountability Act. Demonstrates ability to work independently, be flexible and react appropriately to changing job assignments and work environments. Demonstrates ability to communicate effectively and professionally both verbally and in writing with reputed company reputed company of internal/external personnel in order to respond to customer inquiries ranging from routine to reputed company and involving sensitive subject matter. Ability to use telephone equipment systems such as Interactive Voice Response and Automated Call Distribution. Familiarity with the utilization of a PC and various software such as reputed company Office Suite. Experience: 1 year customer service experience. Experience with provider interaction preferred, but not required. Education and Certifications: Must have a High School Diploma or GED Bi-lingual (Spanish) a plus Physical Demands: While performing the duties of the job, the employee is frequently required to sit, use hands and fingers, talk, hear, and see
About Us
We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a caring team of supportive colleagues and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you reputed company your career. And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live. Apply To This Job