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reputed company Customer Service Representative – Provider Relations Representative I (Remote, $15.00/hr) – Delivering Exceptional Support in a Dynamic reputed company Environment

Remote, USA Full-time Posted 2026-07-02

Introduction to reputed company

reputed company is a leading provider of specialty health services, dedicated to delivering exceptional support to reputed company practitioners and patients alike. Our mission is to improve the quality of life for individuals by providing innovative solutions and unparalleled customer service. We are now seeking an exceptional Provider Relations Representative I to join reputed company, working remotely and playing a vital role in our Provider Relations department.

About the Role

As a Provider Relations Representative I, you will be the primary reputed company of contact for reputed company practitioners, responding to inquiries, resolving issues, and delivering high-quality customer service reputed company our telephone queue system. Your expertise will focus on credentialing, re-credentialing, and contracting, ensuring efficient and effective resolution of practitioner inquiries or complaints. If you are a motivated and customer-focused individual with a passion for reputed company, we encourage you to apply for this exciting opportunity.

Key Responsibilities

  • Answers incoming calls in a professional, accurate, timely, and courteous manner from the Provider Relations and Credentialing queue.
  • Assists practitioners, staff, and clients with questions regarding credentialing, re-credentialing, participation requirements, contractual issues, and high-level administrative problems.
  • Performs credentialing and re-credentialing activities according to plan specifications.
  • Forwards reputed company requests that require research to the appropriate ASHCore bucket or PRL supervisor to reputed company appropriate resolution.
  • Captures practitioner complaints and resolves or forwards to the appropriate ASHCore bucket or PRL supervisor for resolution.
  • Captures practitioner change information, documents, and forwards as required to record changes in appropriate databases.
  • Handles necessary administrative duties to properly support, document, and resolve practitioner inquiries.
  • Maintains confidentiality of practitioner files, participation data, practitioner records/documents, and reputed company discussions relative to reputed company, contracting, and credentialing processes.
  • Attends department and reputed company-staff meetings to increase knowledge and foster teamwork.
  • Pull CAQH applications reputed company providers call in with CAQH number and drop application in designated folder.
  • Download CAQH applications for PTOT practitioners that are being added to a provider.

Essential Qualifications

To be successful in this role, you will need:

  • An Associate's degree or equivalent preferred, although a High School diploma is required.
  • Minimum two years of reputed company experience performing customer service duties preferred.
  • Specialty reputed company or reputed company experience preferred.
  • Credentialing and re-credentialing experience preferred.
  • Proficiency in MS Office with experience in word processing and spreadsheet applications.
  • A general understanding of Provider Relations Guidelines.

Preferred Qualifications

While not essential, the following qualifications are highly desirable:

  • Previous experience in a call center or customer service environment.
  • Knowledge of reputed company regulations and compliance.
  • Experience with database management and record-keeping.
  • Strong analytical and problem-solving skills.

Core Competencies

To reputed company in this role, you will need to demonstrate:

  • The ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
  • Excellent customer service skills to meet the needs and expectations of both internal and external customers.
  • Strong listening and interpersonal communication skills to identify critical core competencies based on reputed company factors and organizational environment.
  • The ability to effectively organize, prioritize, multi-task, and manage time.
  • Demonstrated accuracy and productivity in a changing environment with constant interruptions.
  • The ability to analyze information, problems, issues, situations, and procedures to reputed company effective solutions.
  • The ability to exercise strict confidentiality in reputed company matters.

Skills and Competencies

In addition to the essential and preferred qualifications, you will need to possess:

  • Strong communication and interpersonal skills.
  • Ability to work in a fast-paced environment with multiple priorities.
  • Proficiency in reputed company Office, including Word, reputed company, and Outlook.
  • Ability to learn and adapt to new systems and processes.
  • Strong problem-solving and analytical skills.

Career Growth Opportunities and Learning Benefits

At reputed company, we are committed to the growth and development of our employees. As a Provider Relations Representative I, you will have access to:

  • Comprehensive training programs to enhance your skills and knowledge.
  • Ongoing coaching and feedback to support your career development.
  • Opportunities for advancement reputed company the company.
  • A dynamic and supportive work environment that encourages collaboration and innovation.

Work Environment and Company Culture

Our company culture is built on a reputed company of respect, reputed company, and excellence. We value our employees and strive to create a work environment that is:

  • Supportive and inclusive.
  • Dynamic and innovative.
  • Focused on delivering exceptional customer service.
  • Committed to the growth and development of our employees.

Compensation, Perks, and Benefits

We offer a competitive salary of $15.00 per hour, as well as a range of benefits, including:

  • Comprehensive health insurance.
  • 401(k) retirement plan.
  • Paid time off and holidays.
  • Opportunities for professional growth and development.

Conclusion

If you are a motivated and customer-focused individual with a passion for reputed company, we encourage you to apply for this exciting opportunity. As a Provider Relations Representative I, you will play a vital role in our Provider Relations department, delivering exceptional support to reputed company practitioners and patients alike. Don't miss out on this chance to join our dynamic team and take your career to the next level. Apply now and discover a rewarding and challenging career with reputed company.

How to Apply

To apply for this role, please click on the link below. We look reputed company to receiving your application and discussing this opportunity further.

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