Senior Provider Services Representative (Hybrid)

Senior Provider Services Representative

VillageCareMAX

112 Charles Street, New York, NY 10014

VillageCareMAX is looking for a motivated individual for our Senior Provider Services Representative position. This critical role is responsible for ensuring the efficient and effective operation of the Provider Services team. It involves deep investigation into provider-related issues, handling escalation calls, and acting as a liaison with claims vendor call center queues. The Senior Provider Service Representative will serve as an escalation channel and will support departments by maintaining incoming service requests.

• Conduct thorough investigations into complex provider-related issues.
• Handle escalated calls from providers, addressing their concerns and issues in a professional and timely manner, striving to achieve satisfactory resolutions.
• Assist supervisor with training, mentoring, and trend analysis.
• Maintain accurate and detailed records of provider interactions, investigations, and resolutions in the Organization's EMR.
• Ensure that all provider interactions adhere to the Organization's quality standards and regulatory compliance.
• Collaborate with Supervisor and relevant departments to identify and implement process improvements that enhance the efficiency and effectiveness of Provider Services.

We would like to speak to those who have an Associate degree, Bachelor's highly preferred, along with 2+ years practical experience in healthcare setting. 3-5 years customer service experience required with a track record of handling complex issues. Ability to work in a collaborative, fast-paced, dynamic environment will be essential to this role.

There are many benefits to working for VillageCare. If you are someone who likes being part of a team, enjoys a highly competitive benefits package from world leading carriers and competitive compensation, than we would love to speak with you!

• PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life & Disability, Commuter Benefits, Paid Family Leave, Additional Employee Discounts

VillageCare offers a wide range of at-home and community-based services, as well as managed long-term care options that seek to match each individual's needs to help them attain and maintain the greatest level of independent living possible. We are committed to superior outcomes in quality health care.

VillageCare is an Equal Opportunity Employer.