Provider Services Representative for Healthfirst in Lake Mary, FL

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Provider Services Representative for
Healthfirst in Lake Mary, FL

Some responsibilities include:

Healthfirst Mission and Vision:

Our mission is to ensure that our members have superior healthcare and satisfaction; we significantly improve the health and wellness of the New York metropolitan area, all while driving down the costs. Employees shape our company and connect us to our communities. We look to recruit and retain intelligent, driven leaders who are passionate about healthcare and embody our five culture drivers:

Dream Big, Plan Wisely
Break Down the Walls
Think Critically, Speak Up, Deliver with Pride
Inspire Through Trust, Lead By Example
Be Unstoppable

Customer Service Representative Provider Services (Call Center)

In this phone-based role supporting our Provider Services Department, you will use your strong knowledge of health insurance/healthcare as you solve problems and answer questions for physicians and staff in our provider network.

Our ideal candidate will have prior related experience in a health insurance or healthcare organization and will be able to communicate effectively with medical staff and to manage multiple tasks in a metrics-based environment. You must be able to work a flexible schedule including some nights and weekends as required.


Responding to inquiries regarding provider information or plan benefits
Communicating effectively to providers to ensure understand expectations and/or concerns.
Performing research on provider inquires
Providing complete and accurate information regarding company policy and procedures
Prepare clear documentation to facilitate assistance from other departments and effectively communication with other departments
Following up on open and pending issues, including faxing providers and promptly returning messages


Minimum Qualifications:

Experience with provider information and plan benefits in the insurance industry
Customer service experience in a face-to-face or call center environment
Strong communication and problem-solving skills to facilitate solutions and resolutions for Provider Inquiries
Healthcare or health insurance industry background is highly desirable
Ability to multitask between programs, data entry and look up systems while speaking with providers
Ability to work extended hours and weekends as necessary
High School Diploma or GED equivalent from an accredited school
Flexibility to work at home as business requirements.

Preferred Qualifications:

Previous Healthcare or health insurance industry working experience.

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