Provider Service Specialist Remote Seasonal MediGold

Employer Industry: Medicare Advantage Insurance Why consider this job opportunity: - Full-time temporary position ending on 04/04/2026 - Opportunity for career advancement within a not-for-profit organization - Supportive and collaborative work environment that values customer service - Chance to work with a diverse team dedicated to improving healthcare coverage for seniors - Comprehensive knowledge of plan benefits and services with ongoing updates provided What to Expect (Job Responsibilities): - Respond accurately to provider inquiries via phone, in person, and in writing regarding plan benefits and payment determinations - Document and code all inquiries using designated software applications according to established policies - Review and investigate claims status while advising providers on payment determinations - Maintain updated knowledge of plan benefits and services, including annual changes - Track actions requested from other departments to ensure timely resolutions of provider or member inquiries What is Required (Qualifications): - High School diploma or equivalent required - 2-3 years of prior customer service experience required - Knowledge or experience in the Managed Care Industry preferred - Ability to work independently with minimal supervision as well as part of a team - Familiarity with data entry, various claim form formats, medical terminology, and CPT/ICD9 coding How to Stand Out (Preferred Qualifications): - Experience in the healthcare sector - Proficient in using departmental software and technical systems - Strong verbal and written communication skills #MedicareAdvantage #CustomerService #HealthcareCareers #TemporaryPosition #CareerGrowth "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer." Apply tot his job