Premium service representative vs provider relations representative

Differences between premium service representative and provider relations representative duties and responsibilities

Premium service representative example responsibilities.

• Educate veterans and the college community on veteran's benefits and academic requirements need to accomplish academic goals.
• Handle carrier reimbursement checks receive from insurance carriers in a timely manner by looking up information in the AS400 system.
• Call center customer service representative for HNW clients.
• Uncover other needs that may arise through the phone interaction.
• Ensure VIP guests and club members receive superior service and accommodations.
• Coordinate all aspects of travel for these clients including flight reservations and ticketing.
Show more

Provider relations representative example responsibilities.

• Help manage ACO program and review measures with provider offices.
• Advise clients on health care and manage care products including POS, PPO and medical management programs.
• Provide keen oversight in developing and maintaining quality improvement programs while managing payroll.
• Manage software maintenance renewal partner and assist with upselling additional and higher functionality licenses to increase revenue.
• Review the provider contracts, paid members claims, base on the CPT code & ICD-9 that are submitted.
• Review provider claims for CPT and ICD-9 coding accuracy and generate payment of claims base upon current fee schedule.
Show more