Provider relations representative work from home jobs - 2048 jobs
Call Center Representative Agent Work From Home - Part Time Focus Group Panelists
Apexfocusgroup
Remote job
Now accepting applicants for Focus Group studies. Earn up to $750 per week part-time working from home. Must register to see if you qualify. No call center representative agent experience needed.
Call Center Representative Agent Work From Home - Part Time Remote Focus Group Panelists
Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Market Research assignments.
With most of our paid focus group studies, you have the option to participate remotely online or in-person. This is a great way to earn additional income from the comfort of your home.
Compensation:
$75-$150 (per 1 hour session)
$300-$750 (multi-session studies)
Job Requirements:
Show up at least 10 mins before discussion start time.
Participate by completing written and oral instructions.
Complete written survey provided for each panel.
MUST actually use products and/or services, if provided. Then be ready to discuss PRIOR to meeting date.
Qualifications:
Must have either a smartphone with working camera or desktop/laptop with webcam
Must have access to high speed internet connection
Desire to fully participate in one or several of the above topics
Ability to read, understand, and follow oral and written instructions.
Call center representative agent experience is not necessary.
Job Benefits:
Flexibility to take part in discussions online or in-person.
No commute needed should you choose to work from home remotely.
No minimum hours. You can do this part-time or full-time
Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
You get to review and use new products or services before they are released to the public.
You must apply on our website and complete a set of questionnaire to see if you qualify.
This position is perfect for anyone looking for temporary, part-time or full-time work. The hours are flexible and no previous experience is required. If you are a call center representative agent or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income.
$27k-36k yearly est. 1d ago
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Customer Service Specialist
Russell Tobin 4.1
Remote job
Job title: Customer Support/Account Rep
Duration: 6months
Pay rate: $18/hr - $19.17/hour
Remote to Start: Kick off your journey with us from home! All classes and training sessions will be held remotely for 4-5 weeks.
In-Office Experience: Once training is complete, your role will transition to 5 days per week in-office, fostering collaboration, hands-on experience, and strong team bonds.
Hybrid Work Flexibility: After 6 months of service, enjoy a hybrid schedule that balances in-office and remote work-3 days in-office and 2 days from home-for greater flexibility and convenience.
Preference Criteria:
We prefer candidates with either a College Degree or Previous Contact Center Experience.
Position Description: Join our Client as a Customer Support Representative where you'll handle incoming phone calls regarding various service inquiries. You'll respond with accuracy and efficiency, consistently meeting key department performance metrics. Functional support areas include cash management products, online services, and general account or financial-related inquiries. Successful applicants will be highly professional, career-driven, and committed to delivering world-class service.
Key Responsibilities:
Addressing incoming phone calls with a high degree of accuracy and efficiency.
Providing support on cash management products, online services, and general financial inquiries.
Contributing to a fast-paced, team-oriented environment.
Multi-tasking and adjusting quickly to changes in a busy financial service center.
Qualifications:
Preference for a College Degree or Previous Contact Center Experience.
Highly professional, career-driven, and committed to delivering world-class service.
Excellent communication skills and ability to work effectively in a team environment.
Strong aptitude for multitasking and adjusting to fast-paced environments.
Why Join Us:
Opportunity to work with a reputable financial institution.
Dynamic and collaborative work environment.
Competitive compensation package and opportunities for career advancement.
Be part of a team dedicated to delivering excellence in client service.
$18 hourly 4d ago
Provider Relations Specialist
Innovative Systems Group 4.0
Remote job
Full onsite until trained (30-45 days minimum) with conversion to flex, 3 days onsite, 2 days remote after fully trained.
To work remote, candidates must have their own computer. Otherwise, will need to work fully onsite.
Verify accuracy of provider data information and submit request for updates. Review provider audit reports and perform remediation outreach. Requires frequent contact with our provider by phone and/or email. This is a full time position that requires employee to be in-office during training period (approx. 30-45 days). Once training is complete and proficiency is shown, manager has the discretion to convert position to a flex position which is a minimum 3 days in-office with up to 2 days work from home. Employee must have their own phone, computer equipment with high-speed internet. There are not provided by the company.
Job Requirements:
HS Diploma/GED
Verbal and written communication skills
Ability to quickly learn moderately complex computer systems that support the business area and processes
Comfortable making outbound calls and communications through email
Computer experience (1+ years)
Ability to use basic office equipment (including a copier, etc.), PC proficiency to include: Microsoft 365 Office Products (Excel, Word, Outlook)
Ability to accesses information from a computer and/or maintain a computer database
Detect and correct errors
Ability to follow detailed instructions
Professional demeanor, Confidentiality of information
Organizational skills
Preferred Job Requirements: Customer Service (2+years), Knowledge of health care policies, products and procedures, Knowledge of Salesforce System.
$45k-69k yearly est. 5d ago
Customer Experience Advocate
Cymbiotika
Remote job
At Cymbiotika, we believe that wellness starts with trust. That's why we're committed to creating supplements that are not only effective but also transparent. From the moment you pick up one of our products, you'll know exactly what's inside-no hidden ingredients, no confusing labels. We take pride in using only the highest-quality ingredients, carefully sourced and backed by science, to ensure you're getting the best of nature and innovation in every supplement.
We understand that health is personal, which is why our supplements are designed to work with your body, not against it. By focusing on bioavailability and using advanced liposomal delivery systems, we ensure that your body can absorb and use the nutrients to their fullest potential. Our goal is simple: to help you feel your best, with products you can trust, made with ingredients you feel good about.
With Cymbiotika, you're not just taking a supplement-you're joining a community of people who value wellness, science, and the power of transparency. We're here to empower you on your journey to better health, every step of the way.
We are looking for a motivated and experienced Customer Experience Advocate to join our Cymbiotika team! As a Customer Experience Advocate, you will be tracking all points of customer engagement, addressing customer queries, and identifying ways to improve our customer services.
Role Overview
As a Customer Experience Advocate, you are the voice of the company, specializing in extensive product knowledge, record keeping, and problem solving. Working alongside multiple departments, you will answer customer questions and concerns with confidence and a positive attitude.
Responsibilities:
Provide customers with order verification, updates regarding shipment, product availability and pricing.
Work closely with cross-functional departments to enhance customer services and brand awareness.
Provide analytical and specialized administrative support with general instructions.
Inform customers about new products and usage.
Analyze customer feedback on new and existing products, as well as preparing reports.
Respond to customer queries in a timely and effective manner, via phone, email, or social media.
Participate in weekly meetings that are structured to aid in the enhancement of professional development.
Maintain accurate records and document all customer service activities and discussions.
Requirements:
At least 1 year of relevant experience
Exceptional communication, collaboration, and problem-solving skills.
Exceptional interpersonal skills and a client-centered approach.
Great organizational and time management abilities.
Proficiency in Google and customer service softwares
What We Offer:
Welcome Package: Receive a curated selection of Cymbiotika products to kickstart your wellness journey with us at your 45th day.
Exclusive Employee Discounts: Enjoy 70% off all products for yourself and 50% off for friends and family.
Flexible Fridays: Work from home Fridays to ease into your weekend with balance and flexibility.
Catered Team Lunches: Connect with your colleagues over delicious catered lunches every Wednesday.
Beverage Perks: Cold brew, coffee, and fridge full of drinks.
Snacks: Variety of snacks to keep you fueled.
Wellness Facilities: Unwind in our on-site meditation room or recharge with red-light therapy.
VIP Access: Enjoy exclusive suite access at Petco Park for San Diego Padres home games.
Fitness Perks: Complimentary ClassPass membership for access to fitness classes and wellness activities.
Paid Time Off: Enjoy 13 paid company holidays, a generous PTO policy that grows with your tenure, and dedicated sick time to support your health and work-life balance.
Comprehensive Health Benefits: Dental, vision, and health insurance plans with 100% employer-paid coverage options.
Exclusive Lifestyle Discounts: Special offers through partners like Farmers Insurance, hotels, movie theaters, theme parks, and more.
Team-Building Activities: Join regular team outings and events that foster collaboration, creativity, and fun.
Retirement Plan: 401(k) plan with matching contributions to help secure your financial future.
Community Engagement: Participate in company-sponsored volunteer events and give back to causes that matter.
$40k-55k yearly est. 2d ago
Remote Customer Service Representative - Product Testing
Glocpa
Remote job
We're looking for Customer Support Product Testers across the US to work from home and help top brands improve their products before they hit the market.
$28k-36k yearly est. 60d+ ago
Remote Customer Support Specialist
Talentoma
Remote job
Remote Customer Support Specialist (Work From Home) | $3,300-$3,900/month
We're hiring Remote Customer Support Specialists to join our growing team. This is a fully remote / work-from-home customer service role focused on handling inbound calls and helping customers with general questions, updates, or basic support needs.
You'll be the first point of contact for customers-so clear communication, patience, and a calm, professional tone matter. If you enjoy talking to people, following simple processes, and solving straightforward issues while working independently, you'll feel right at home here.
What You'll Do (Key Responsibilities)
Answer inbound customer support calls and provide accurate, helpful responses
Make occasional outbound calls (appointment reminders, follow-ups, or status updates)
Maintain a friendly, patient, and professional tone on every interaction
Document call notes and key details accurately using our digital tools and systems
Follow step-by-step call handling procedures to keep conversations efficient and consistent
Stay connected with your remote team through chats, updates, and scheduled check-ins
What We're Looking For (Qualifications)
Strong speaking skills, active listening, and clear communication
Comfortable using a computer and switching between basic tools (calls, notes, systems)
Reliable internet connection and a quiet, distraction-free home workspace
Team-minded attitude-willing to ask questions and support others
No experience required - paid training is provided
Customer service experience (call center, retail, hospitality) is a plus, not required
Pay & Benefits
Monthly pay: $3,300-$3,900 (based on experience)
100% remote - work from the comfort of home
Paid training starting day one
Flexible scheduling options (including weekends based on availability)
Supportive team culture with approachable managers
Growth and advancement opportunities within the company
If you're ready to start a remote customer support role with training, flexibility, and a supportive team, apply today. 📞💻
$3.3k-3.9k monthly 5d ago
Customer Service Specialist
Calculated Hire
Remote job
Service Scheduling Administrator (SSA)
Part-Time | Fully Remote After Training
Training Location:
Charlotte North Ops Center
115 Rhyne Road, Charlotte, NC
Training is conducted onsite, five days a week.
Work Schedule & Mobility:
Onsite for training; fully remote after training
Part-time role (minimum 22 hours/week)
Hours may increase to 36+ per week if the contingent worker is available
Required availability:
Weekends: 7:00 AM - 6:00 PM
Holidays: 7:00 AM - 4:00 PM
Position Purpose:
The Service Scheduling Administrator (SSA) is responsible for assigning, routing, and adjusting workloads for field service personnel to support daily operations, customer service commitments, and emergency response. This role serves as a critical point of contact for technicians, first responders, and emergency customers, ensuring timely, accurate, and professional resolution of service needs.
The SSA supports after-hours operations and contributes to maintaining 24/7/365 emergency coverage across the service area.
Nature & Scope
The SSA supports the Planning & Progression Department, a centrally-led and regionally-executed team responsible for receiving, routing, and assigning all service orders for the Natural Gas Business Unit.
This role requires:
Independent judgment and analytical skills to optimize workloads in a dynamic operational environment
The ability to assess service calls and emergencies and apply appropriate human relations skills
Coordination of service and emergency response across a three-state service area operating 24/7/365
Operational Impact:
Supports approximately 350 Service Technicians
Helps manage an average of 56,000 emergency calls annually
Key Responsibilities:
Assign, route, and adjust daily workloads for field service personnel
Answer inbound calls from technicians, first responders, and emergency customers
Handle complex calls requiring research, follow-up, and sound judgment
Monitor service workflows and adjust schedules as operational conditions change
Ensure timely, accurate resolution of customer inquiries and emergencies
Support after-hours technician operations and emergency response coverage
Required Skills & Qualifications:
Strong analytical, problem-solving, and decision-making skills
Ability to multitask and prioritize in a fast-paced, high-volume environment
Excellent communication and customer service skills
Ability to remain calm and professional during emergency situations
Education Requirement:
High School Diploma or GED required
$27k-35k yearly est. 4d ago
Customer Service Specialist
Net2Source (N2S
Remote job
Title: Customer Service
Duration: 6+ months (Extension)
Shift: 8am - 5pm
Qualifications:
A combination of formal education such as bachelor's degree, associate's degree with certifications and/or at least 2-4 years of progressive customer service experience
Excellent communication skills
Excels at interpersonal and relationship management skills
Prior experience with the ability to successfully resolve conflict
Strong ability to multi-task
Some exposure to building products and/or retail industry preferred
Developed systems aptitude and Microsoft Office skills
SAP experience required
Order Management
Accept, enter, schedule and maintain orders within SAP
Sales Force
Order Entry Document Manager (OEDM)
Understands and executes all types of order processing (EDI/Business Connections)
Verify pricing
Respond to inquiries, e.g. inventory availability, production schedule, technical questions, products and policies
Ability to build efficient truckloads and schedules in coordination with the traffic department
Verify accurate information on ship schedule/OEDM
Is a high performer in the CAS Learning Path - achieving agreed upon metrics and demonstrating critical behaviours
Can function across all regions and in multiple business groups
Understands and correctly provides direction of the Service Advantage for our customer and Sales Team.
Communicates, when necessary, with internal departments regarding Credit and Pricing
Expedites hot or special orders as agreed upon with sales and supervisor
Conflict Management
Properly communicates, manages and resolves customer and sales issues in a professional and empathetic manner
Address and correct customer service issues, forward issues to appropriate department, continued follow-up through resolution to ensure overall customer satisfaction
Collaborate with cross-functional teams to expedite orders
Perform backorder coordination/shipping
Maintain customer records within all software databases
Communicate any schedule delays in customer orders in a timely manner
Manage the Return Material Authorization (RMA) process within agreed upon policy, ensuring customer satisfaction, while ensuring guidelines and goals are achieved.
Order Management & Customer Service Supply Chain Support
Cross train to gain understanding of the functions within Supply Chain to effectively support the overall Siding Products Group.
Provide coverage for time off, peak periods and perform at the Learning Path proficient level and as a high performer in all aspects of customer service and related cross trained function(s).
Maintain customer records within all software databases
Manage the Return Material Authorization (RMA) process within agreed upon policy, ensuring customer satisfaction, while ensuring guidelines and goals are achieved.
Is proficient in Salesforce or equivalent computer related skillset
Maintain customer records within all software databases
Responsibilities:
Under the supervision of the Service Center Supervisor located in Malvern, PA (this is not a remote position) or Manager the Customer Service Temp is accountable for establishing a strong customer relationship based on trust and responsiveness to deliver World Class Service to the incumbents' customer base.
The CST will accurately process customer orders in an efficient manner to ensure we exceed our customers' expectations.
Additionally, the CST will manage multi-part customer complaints/concerns and be empowered to resolve issues in a timely and professional manner.
The CST is fully proficient in all aspects of the Learning Path and is knowledgeable across all lines of business and regions.
The CST will adhere to policies and procedures currently in place and maintain the required level of service to our customers.
The CST works within the parameters as defined by customer service standards and the Service Advantage guidelines.
The incumbent must analyse and respond to fluctuating situations and conditions in such a manner that not only meets/exceeds the expectations of our customer but considers the overall impact to the business.
Proactively resolves customer problems/issues, exhibiting ownership for our customers.
Demonstrates relentless customer service
Flexibility in working hours 7:30am - 6pm with some overtime
Willingness and ability to work from home during inclement weather or emergency situations - requires home phone line & internet
$27k-36k yearly est. 2d ago
Customer Service Representative
Leeds Professional Resources 4.3
Remote job
We are hiring a customer service representative to manage customer queries and complaints. To do well in this role you need to be able to remain calm when customers are frustrated and have experience working with computers.
Pay $18/HR (Monday-Friday Day Shift)
Work Environment: In-office training for 10 weeks. After successful training this position will become work from home.
Additional Info:
Must have reliable transportation and home internet access
Must have Long Term Care, Medicare, or Medicaid experience for this role
Customer Service Representative Responsibilities:
Maintaining a positive, empathetic, and professional attitude toward customers at all times.
Responding promptly to customer inquiries.
Communicating with customers through various channels.
Acknowledging and resolving customer complaints.
Knowing our products inside and out so that you can answer questions.
Processing orders, forms, applications, and requests.
Keeping records of customer interactions, transactions, comments, and complaints.
Communicating and coordinating with colleagues as necessary.
Providing feedback on the efficiency of the customer service process.
Managing a team of junior customer service representatives.
Ensure customer satisfaction and provide professional customer support.
Customer Service Representative Requirements:
High school diploma, general education degree, or equivalent.
Ability to stay calm when customers are stressed or upset.
Comfortable using computers.
Excellent communication skills and Microsoft Office Suite
$18 hourly 2d ago
Bilingual Customer Service Rep (Local-REMOTE)
Amerit Consulting 4.0
Remote job
OVERVIEW: Our client, a US Fortune 1,000 company and a major process services provider to Government Health and Human services agencies in the US, seeks an accomplished “Bilingual Customer Service Rep (Local-REMOTE)”
Bilingual Customer Service Rep (Local-REMOTE)
Location: Rancho Cordova, CA (
Full address
: 3130 Kilgore Road, Rancho Cordova, CA 95670)
Duration: 3-4 months+ Contract with high possibility of extension!!!
Pay rate: $20.25/hr on W2
Note:
Initial Training will be ONSITE, after training, the candidate is allowed to work remotely.
Work from home will be allowed.
Work schedule is 9-6pm PST.
Bilingual fluency in English and one of these commonly spoken languages: Spanish, Japanese, Thai, Laotian, Mandarin, Cantonese, Cambodian, Korean, Russian, Vietnamese, Tagalog, and Armenian.
Equipment will be provided by the client, however the candidate needs to have High speed wired internet connection to work REMOTELY.
JOB DESCRIPTION:
One year of experience in the field or related area.
High School diploma, GED, or equivalent certification.
Computer literacy with the ability to quickly learn new software programs.
Demonstrated ability to follow procedures and meet quality and production standards set for the position or equivalent.
excellent organizational, interpersonal, written, and verbal communication skills; ability to perform comfortably in a fast-paced, deadline-oriented work environment.
Ability to successfully execute many complex tasks simultaneously.
Ability to work as a team member, as well as independently; and computer literacy with the ability to quickly learn new software programs.
Preferred qualifications include experience in a health or human services field dealing with the public in a call center environment.
JOB RESPONSIBILITIES:
Responds to inbound 800-line calls and completes outbound support calls, provides responses to questions, and in specific instances, refers callers to the appropriate supervisor, county or state agency representatives for service and/or when problems or concerns occur.
Assists beneficiaries by completing enrollment transaction request transactions, as applicable.
Maintains updated knowledge of the Client program, including its policies and procedures as referenced in the employee manual and other policies adopted by corporate, the project and/or client and as referenced in desk procedures for the position.
Maintains knowledge of contract compliance provisions of the project and meets those provisions that are applicable to this job position.
Follows policies and procedures applicable to the position.
Recruiter Contact Info
Gurjant Singh
Phone: ************
Email: **********************************
************************
I'd love to talk to you if you think this position is right up your alley, and assure prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you.
Company Overview:
Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally: as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with a service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients' businesses forward.
Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Applicants with criminal histories are considered in a manner that is consistent with local, state and federal laws.
$20.3 hourly 5d ago
Customer Service Representative
Concero
Remote job
We are looking for a dedicated and empathetic Inbound/Outbound Call Center Representative to join our Patient Services team. In this role, you will be responsible for making inbound/outbound calls to an existing patient list to schedule doctor appointments. The ideal candidate will have excellent communication skills, a compassionate approach to patient interactions, and the ability to manage a high volume of calls efficiently.
Key Responsibilities:
Outbound Calling:
Make a minimum of 25 outbound calls per hour to existing patients to schedule doctor appointments.
Inbound:
Take high volume incoming calls from patients to assist in scheduling doctor appointments. Navigate through multiple applications to answer insurance and account questions.
Appointment Scheduling:
Accurately book and confirm appointments based on patient availability and doctor schedules with a goal of setting a minimum of 125 appointments per month.
Patient Interaction:
Engage with patients in a courteous and professional manner, addressing their questions or concerns and providing relevant information about their appointments.
Data Management:
Update patient information, appointment details, and call outcomes in the company's scheduling and CRM systems.
Documentation:
Maintain accurate records of patient interactions and appointment status, ensuring all information is entered correctly and promptly.
Compliance:
Adhere to privacy regulations and company policies regarding patient information and appointment scheduling.
Feedback and Improvement:
Report any issues or patient feedback to the Call Center Manager to help improve processes and patient satisfaction.
Performance:
Maintain and exceed company metrics for outbound and inbound calls and appointments set.
Qualifications:
Experience:
Previous experience in a call center or customer service role is preferred, particularly in a healthcare or insurance setting. Training will be provided.
Communication Skills:
Strong verbal communication skills with a focus on clear, compassionate, and effective patient interaction.
Organizational Skills:
Excellent organizational skills with the ability to manage multiple tasks and maintain a high level of productivity.
Technical Proficiency:
Familiarity with scheduling software and CRM systems is a plus; proficiency in data entry and technical aptitude use required.
Attention to Detail:
High attention to detail to ensure accuracy in scheduling and patient information.
Empathy:
Ability to approach each call with empathy and professionalism, particularly when dealing with sensitive patient information.
Working Conditions:
Schedule:
Full-time. Flexibility in scheduling may be required based on call volume and patient needs. Hours are Monday-Friday between the hours of 8:30-6:00. There are occasional Saturdays based on Company needs
Environment:
Remote work environment.
Noise Requirements:
Must be able to provide and maintain a quiet, distraction-free workspace with
zero background noise
to ensure clear, professional-quality inbound and outbound calls.
$26k-34k yearly est. 5d ago
Licensed Customer Service Representative
Commonwealth Casualty Company
Remote job
The Customer Service Representative is responsible for delivering high-quality support to policyholders and prospective customers. This entry-level role ensures a positive customer experience by answering questions, resolving issues, processing policy updates, and providing accurate information in a timely and professional manner.
Duties and Responsibilities:
· Manage multiple tasks and priorities while efficiently navigating various systems to perform job functions.
· Demonstrate a strong understanding of company procedures, processes, tools, and systems.
· Take full ownership of customer accounts during the review and servicing process.
· Maintain accurate internal records by archiving all necessary documentation and evidence.
· Develop and maintain strong knowledge of company products, pricing, underwriting guidelines, and policy features.
· Receive, investigate, and respond to all customer inquiries, concerns, and complaints in a timely and professional manner.
· Request, track, and follow up on any missing or required information from customers.
· Provide accurate quotations, pricing details, and policy information to new and existing customers.
· Successfully complete the sales process in accordance with the company's regulatory requirements.
· Answer incoming calls promptly, professionally, and courteously while maintaining excellent customer service standards.
Job Requirements
· High school diploma or equivalent required.
· Active insurance license (Property & Casualty)
· Bilingual skills are a plus (Spanish/English preferred).
· Ability to learn and apply insurance guidelines, processes, and systems.
· Ability to thrive in a fast-paced, high-pressure environment while maintaining accuracy and professionalism.
· Proficient in Microsoft Office applications and comfortable handling phone communications with a professional disposition
· Time-management skills
· Customer-focused mindset with strong problem-solving skills
· Previous customer service experience preferred.
· Candidates are required to complete a basic computer proficiency and customer service skills test and achieve an acceptable passing score.
Work Environment & Schedule
· Standard schedule: Monday-Friday; Currently hiring for shifts between 5:00 AM and 6:00 PM MST and the schedule will vary depending on call center needs at the time of hiring.
· In-office position and require on-site attendance for all scheduled shifts for Arizona.
· Remote position available for out-of-state applicants only, and this position requires
the schedule to accommodate Arizona time.
$28k-37k yearly est. 1d ago
Provider Relations Representative II, Dental - Mississippi
Avesis
Remote job
Join us for an exciting career with the leading provider of supplemental benefits!
Our Promise
Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.
At Avesis, the ProviderRelationsRepresentative plays a vital role in connecting our dental provider community with the resources, education, and support they need to thrive. As a key member of our ProviderRelations Department, you'll be the bridge between Avesis and our participating provider network, ensuring that our partners are equipped, informed, and engaged every step of the way.
If you're a self-driven communicator who thrives on building relationships and solving problems, this is the role for you. Your expertise and passion will directly contribute to Avesis's mission of delivering high-quality, accessible dental care to our members, while also supporting and nurturing the growth of our provider community. Join us in making a meaningful impact in the healthcare space!
In this role, you will combine the flexibility of a hybrid work environment with the opportunity to build lasting partnerships both remotely and in the field. You will lead efforts to foster the best-in-class provider education, tackle provider inquiries and issues, and manage a variety of initiatives that enhance our relationships with the provider network. Our chosen candidate must reside within the state of Mississippi due to the travel component of this role.
Functional Competencies:
ProviderRelations encompasses several diverse provider administrative duties to improve the Avesis provider experience including direct provider engagement and training with the goal of resolution of issues.
Conduct provider outreach via in-person/video/phone or email by providing training, orientation, and coaching for performance improvement within provider practices. Provide guidance through education to enable Avesis network providers to become more self-sufficient in confirming eligibility, claims submission and payment by use of available tools.
Consistently documents all provider interactions, including calls, emails, virtual and in-person visits, in accordance with departmental standards. Ensures that notes are clear, timely, and accurately reflect the nature of the communication to support ongoing relationship management, issue resolution, and continuity of service across teams.
Maintains thorough and timely records to ensure accountability, transparency, and effective information sharing across teams.
Conduct monthly and/or quarterly meetings with provider groups documenting discussions, issues, attendees, action items, researching claims or prior authorization issues on site and routing to the appropriate party for resolution.
Owns and manages relationship and performance of assigned provider groups. Serves as the primary point of contact for assigned providers.
Communicate and shares provider claims and directory reporting both internally and externally and additional reporting as necessary.
Complete provider orientation via phone, email, in-person and/or virtually for all applicable product lines to train, resolve issues, and educate staff/providers.
Perform onsite facility reviews, when applicable and conduct quarterly face-to-face visits within the assigned territory and/or market. Work closely and coordinates with Avesis Claims, Customer Service, Utilization Management, Clinical Management, Credentialing, Recruitment, Account Management, and other staff to develop operational solutions for various provider network projects.
Educate providers regarding state program, group policies, and/or health plan policies and procedures and state/federal regulation for compliance requirements. Investigate and respond to complex providerrelated issues and initiate change of provider demographic related database information.
Responds to general provider contract inquiries, provider education and non-routine claim issues.
Attend work-related events/conferences while representing the organization and brand in a professional manner.
Coaches, mentors, and develops junior team members as applicable.
Core Competencies:
Knowledge of health plan operations.
Knowledge of provider/health plan contracts/agreements.
Microsoft applications and other windows-based applications to include an intermediate level in Microsoft Excel and databases. Knowledge of and intermediate ability to use various computer programs such as Microsoft Office including spreadsheets, databases, word processing and presentation software and programs/systems utilized in data analysis.
Behavioral Competencies
Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth.
Initiative: readiness to lead or take action to achieve goals.
Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.
Member-focused: going above and beyond to make our members feel seen, valued, and appreciated.
Detail-oriented and thorough: managing and completing details of assignments without too much oversight.
Flexible and responsive: managing new demands, changes, and situations.
Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.
Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and to keep information confidential when required.
Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.
Minimum Qualifications:
High School Diploma or equivalent.
1 to 2+ years of Dental office experience.
Comprehension of Medical/Dental Terminology.
Must reside within the state of Mississippi
A valid driver's license with proof of auto insurance and the ability to use your own vehicle.
The ability to travel up to 50% is required to meet prospective clients, existing customers, attend trade shows and other meetings as needed. Travel times may vary and can range from short overnight trips to extended stays.
As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 10 Mbps upload while hardwired and not on a VPN are sufficient.
Preferred Qualifications:
Bachelor's degree
Previous ProviderRelations Experience
Dental Assisting National Board (DANB) certified or Certified dental assistance (CDA).
1 year of experience with provider credentialing and contracting processes.
1 year of dental insurance claim experience, as well as the ability to analyze data to resolve provider claim issues.
At Avēsis, we strive to design equitable, and competitive compensation programs. Base pay within the range is ultimately determined by a candidate's skills, expertise, or experience. In the United States, we have three geographic pay zones. For this role, our current pay ranges for new hires in each zone are:
Zone A: $46,080.00-$76,800.00 Zone B: $50,220.00-$83,700.00 Zone C: $54,050.00-$90,080.00 FLSA Status: Salary/Exempt
This role may also be eligible for benefits, bonuses, and commission.
Please visit Avesis Pay Zones for more information on which locations are included in each of our geographic pay zones. However, please confirm the zone for your specific location with your recruiter.
We Offer
Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
Competitive compensation package.
Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
Life and disability insurance.
A great 401(k) with company match.
Tuition assistance, paid parental leave and backup family care.
Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
Employee Resource Groups that advocate for inclusion and diversity in all that we do.
Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.
How To Stay Safe
Avēsis is aware of fraudulent activity by individuals falsely representing themselves as Avēsis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company.
Avēsis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during our process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avēsis recruiters will come from a verified email address ending in @ Avēsiscom.
We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to ********************.
To learn more about protecting yourself from fraudulent activity, please refer to this article link (************************************************** If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: ******************************* with the Federal Trade Commission. Avēsis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity.
Equal Employment Opportunity
At Avēsis, We See You. We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic. At Avēsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients. We focus on recruiting, training and retaining those individuals that share similar goals. Come Dare to be Different at Avēsis, where We See You!
At Globe Life, we are committed to empowering our employees with the support and opportunities they need to succeed at every stage of their career. We take pride in fostering a caring and innovative culture that enables us to collectively grow and overcome challenges in a connected, collaborative, and mutually respectful environment that calls us to help Make Tomorrow Better.
Role Overview:
Could you be our next Bilingual Customer Retention Representative? American Income Life is looking for a Bilingual Customer Retention Representative to join the team!
As a Customer Retention Representative, you will play a critical role in maintaining American Income Life's customer base by engaging with policyholders who are considering cancellation or have policies in a lapsed status. This role focuses on building relationships, understanding customer needs, and providing solutions to retain valuable life insurance coverage.
This is a remote / work-from-home position. We have full-time and part-time positions available with morning and evening shifts.
What You Will Do:
Inbound Cancellation Support: Handle incoming calls from policyholders requesting policy cancellations, working to understand their concerns and explore retention options.
Outbound Lapse Recovery: Proactively contact customers with lapsed life insurance policies to discuss opportunities and payment solutions.
Customer Consultation: Assess individual policyholder situations and recommend appropriate coverage adjustments.
Relationship Building: Demonstrate clear, empathetic, and professional communication by actively listening to policy holder concerns, asking clarification questions to fully understand their situation, and explaining policy options and solutions in simple, easy-to-understand language.
Documentation: Maintain accurate records of all customer interactions, retention efforts, and outcomes in company systems.
Product Knowledge: Stay current on life insurance products, policy features, and company procedures to provide accurate information.
Communication: Adapt communication style to meet individual customer needs, maintain a calm and supportive tone during difficult conversations, and ensure all the information provided is accurate and complete. Follow up with customers as needed to confirm understanding and satisfaction with proposed solutions.
Performance Metrics and KPI Achievement: Meet or exceed established contact center key performance indicators (KPIs) including call volume targets, retention rate goals, first call resolution, adherence targets, call quality targets, and attendance expectations. Efficiently manage daily call quotas for both inbound cancellation calls and outbound lapse recovery contacts while maintaining quality standards.
What You Can Bring:
Must be fully bilingual in English and Spanish, with the ability to speak, read, and write fluently in both languages.
High school diploma or equivalent.
Basic Microsoft Office Skills, including Word, Excel, and Outlook.
Minimum Typing speed of 30 wpm.
Experience in a call center environment preferred.
Some experience in insurance and/or sales is preferred.
Excellent verbal and written communication skills.
Ability to solve complex policyholder issues with a positive attitude.
Ability to work in a fast-paced environment and work well under pressure.
Knowledge of life and/or health insurance terminology preferred.
Applicable To All Employees of Globe Life Family of Companies:
Reliable and predictable attendance of your assigned shift.
Ability to work full time and/or part time based on the position specifications.
How Globe Life Will Support You:
Looking to continue your career in an environment that values your contribution and invests in your growth? We've curated a benefits package that helps to ensure that you don't just work, but thrive at Globe Life:
Competitive compensation designed to reflect your expertise and contribution.
Comprehensive health, dental, and vision insurance plans because your well-being is fundamental to your performance.
Robust life insurance benefits and retirement plans, including company-matched 401k and pension plan.
Paid holidays and time off to support a healthy work-life balance.
Parental leave to help our employees welcome their new additions.
Subsidized all-in-one subscriptions to support your fitness, mindfulness, nutrition, and sleep goals.
Company-paid counseling for assistance with mental health, stress management, and work-life balance.
Continued education reimbursement eligibility and company-paid FLMI and ICA courses to grow your career.
Discounted Texas Rangers tickets for a proud visit to Globe Life Field.
Opportunity awaits! Invest in your professional legacy, realize your path, and see the direct impact you can make in a workplace that celebrates and harnesses your unique talents and perspectives to their fullest potential. At Globe Life, your voice matters.
$60k-114k yearly est. Auto-Apply 13d ago
Provider Relations Specialist
Synapticure Inc.
Remote job
About SynapticureAs a patient- and caregiver-founded company, Synapticure provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health support in all 50 states through a virtual care platform. Partnering with providers and health plans, including CMS' new GUIDE dementia care model, Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases like Alzheimer's, Parkinson's, and ALS.
The RoleSynapticure is seeking a ProviderRelations Manager to serve as a trusted relationship-builder and key account manager for our provider partners. This remote-first position focuses on nurturing long-term relationships with primary care and neurology practices, driving program adoption, and ensuring ongoing engagement and satisfaction.
While the majority of your work will be conducted remotely, you'll travel approximately 30% of the time to meet with provider groups, attend key events, and support local engagement efforts. Some door-to-door practice outreach (10-20%) may be required to introduce Synapticure programs to new clinics and strengthen relationships in the field.This role is ideal for a relationship-driven professional with experience in healthcare account management, provider engagement, or field sales who thrives on connecting virtually and in-person to expand access to quality neurodegenerative care.
Job Duties - What You'll Be Doing
Build and manage strong relationships with provider partners, practice managers, and clinical leadership across assigned territories
Serve as Synapticure's relationship owner, ensuring ongoing satisfaction and sustained adoption of programs
Conduct virtual and in-person meetings to communicate Synapticure's mission, capabilities, and impact
Identify provider needs and use a consultative approach to deliver tailored solutions that improve workflow and patient experience
Track and report provider engagement activities, progress toward goals, and insights gathered from the field
Coordinate with internal teams (Clinical Operations, Implementation, and Product) to resolve issues and improve program delivery
Support new program rollouts through remote and in-person training sessions, onboarding, and troubleshooting
Execute strategic outreach campaigns, including limited door-to-door provider engagement when introducing new markets or services
Collaborate with leadership to develop growth plans and identify new opportunities for partnership
Represent Synapticure at regional meetings and healthcare networking events as needed
In person outreach to members
Requirements - What We Look For In You
5+ years of experience in healthcare account management, providerrelations, or field engagement
Demonstrated success managing provider or client relationships remotely with periodic travel
Excellent written and verbal communication skills; confident engaging both clinical and administrative audiences
Highly organized, proactive, and adaptable to changing priorities
Comfortable using CRM tools and virtual collaboration platforms (Zoom, Salesforce, etc.)
Understanding of healthcare delivery models and practice operations preferred
Familiarity with neurodegenerative care, behavioral health, or telehealth models is a plus
Willingness to travel ~30% and perform in-person outreach (10-20%)
We're founded by a patient and caregiver, and we're a remote-first company where empathy and excellence guide every interaction:
Relentless focus on patients and caregivers. We are determined to deliver exceptional care and support to every individual we serve.
Empathy and humanity. We meet every challenge with compassion, understanding, and hope.
Curiosity and adaptability. We listen first, learn continuously, and evolve based on the needs of patients and partners.
Optimism and action. We move with urgency and positivity to make meaningful change.
Travel ExpectationsThis is a remote position with approximately 30% travel to provider sites, conferences, and community events. Most travel is regional and planned in advance, though limited door-to-door outreach may be required for new practice introductions.
$39k-63k yearly est. Auto-Apply 60d+ ago
Principal, Client Relations - Healthcare
Teecom 3.5
Remote job
TEECOM | We Make Technology Work in Buildings Do you want to launch or advance a career at the intersection of technology and the built environment? Do you want to work with exceptional engineers to solve complex problems creatively? Do you want to work with clients to take their building experiences to the next level of connectivity, safety, and wow factor? Do you want to join a company that defines the state of the art in its practice, with visionary leadership and in-house research and development? TEECOM is a $50+ million/year consulting engineering firm with an average annual growth rate of 20% over the past 25 years. We make technology work in buildings through strategic consulting, design and engineering, project management, and enterprise support. We work hard in a fast-paced, professional remote environment that will challenge you to learn and grow. TEECOM is one of the fastest-growing companies in the San Francisco Bay Area, with additional teams in New York City, the United Kingdom, the Pacific Northwest, Southern California, and Texas. Join us and make TEECOM even better.
About the Position
The Principal, Client Relations - Healthcare, plays a critical role in growing TEECOM's footprint in the Healthcare market vertical. This position required a consultative selling approach, identifying client objectives and challenges while aligning with TEECOM's expertise and service offerings. The goal is to establish TEECOM as the preferred partner for all technology design and implementation needs.
This leadership role offers the opportunity to drive growth by leveraging an established network and client relationships to further TEECOM's thought leadership and grow our market share.Impact
Develop Sales: Identifies opportunities through relationships and networking that have or will position the firm for future work, as well as providing an excellent client experience that results in net new and repeat work.
Represent TEECOM Values and Guiding Principles: Demonstrate that they CARE about clients and fellow team members, add VALUE, and earn and build TRUST.
Solicit Client Feedback: Ask for client feedback routinely and document and share the feedback with our team members.
Contribute to TEECOM's Leadership: Contribute and participate in strategic leadership meetings and conversations through our semi-monthly leadership meetings and quarterly planning meetings that lead to market outperformance and growth.
Influence
Indirect Mentorship: Provide indirect mentorship to anyone who asks questions or needs guidance.
Guide Decisions: Directly influence decisions and help guide decisions in TEECOM's favor.
Lead by Example: Set an example for the team by aligning your actions with your words.
Trusted Advisor: Become a trusted advisor to clients, team members, and industry partners, leading to positive and constructive growth.
Knowledge
Deep understanding of technologies services (ICT, AV, SEC, Network, Acoustic), the AEC industry, and the implementation of technology services solutions.
Familiar with technology systems within ICT, telecom infrastructure, cabling, audiovisual, security, acoustics, and wired and wireless networks.
Understanding the Architecture, Engineering, and Construction (AEC) industry and the complexity of building large facilities within multiple market verticals.
Skills
Solution Selling: Express and sell complex solutions to the highest level of executives. Demonstrate an ability to pivot C-suite to consider new business processes.
Problem Solving: Approach problems logically to create a workable solution.
Networking and People Skills: Ability to identify and connect with decision-makers across organizations from middle/upper management to the C-suite. Utilize people skills to nurture and expand networks to identify project leads to increase TEECOM's market share.
Client Experience: Facilitate an impactful and positive client journey experience by focusing on all client interactions.
Communication: Conduct business communications in a practical, professional, and concise manner, both verbally and in written formats, and one-on-one, small-group, and large-group settings. You must read, write, speak, compute, and problem-solve various tasks. Break down complex concepts into smaller and more digestible components that allow for a greater understanding by others.
Documentation: Accurately and concisely capture discussions in the form of meeting notes, decisions, and action items, as well as document weekly activity.
Organization: Keep track of multiple projects and client and team member requests, often on a last-minute basis, with excellent follow-up and follow-through.
Teamwork: Work as a functional team member and successfully work with other teams and business functions to achieve positive results. Facilitate effective project team and cross-functional interactions (Project Delivery, Finance, Marketing, etc.).
Strategy: Align the team's goals with the organization's goals. Communicate the plan with the team to ensure understanding. Accept responsibility for problems and recognize others for their ideas and contributions. Know when to ask for help from leadership and how to present scenarios, challenges, and issues to leadership to gain support when required.
Emotional Intelligence: Nurture, mentor, and collaborate with staff who work in a deadline-driven environment on projects with complex needs. These conditions can lead to stress in team members. Know how and when to apply pressure and nurture staff members. This results in high levels of effective communication, team member satisfaction, motivation, and project results, leading to a highly functional and successful team.
Process Oriented: Follow processes, continually seek to make processes more efficient, enforce processes, and conduct root cause analyses that lead to the update or creation of processes.
Software: Use applications effectively and efficiently (GitHub, G-Suite, Slack, etc.) to communicate and deliver work products. Be agile and willing to learn new software and applications as needed.
Essential Duties and Responsibilities
Pipeline: Build and document a pipeline of opportunities through client relationship development, research, and collaboration with our Market Intel team.
Client Relations Development: Lead business development activities and direct specific project pursuit efforts within the Healthcare market vertical. Act as the primary external-facing representative, proactively identifying opportunities and engaging key stakeholders to position TEECOM as a trusted technology partner.
Sales Plan: Work with the Director of Global Business Development to inform and develop an annual client relations and sales plan for your target market and accounts that supports and is consistent with TEECOM's growth goals.
Market Intel: Gather intelligence and open doors to new direct owner clients, architects, engineers, and other channel partners. Leverage insights from the Market Intel team to refine client engagement strategies.
Support Project Delivery: Support the (TBD) market vertical project delivery team in developing relationships and visibility into new client's pipeline.
Expand Accounts: Develop past and current client relationships to expand our range of services and build a pipeline of future opportunities.
Industry Events: Participate in industry-related functions to increase visibility and identify and connect with clients, channel partners, and other synergistic connections.
Competitive Advantage: Collect and organize the information required to give TEECOM a competitive advantage when competing with other firms for project awards.
Referrals: Source referrals from existing clients.
Collaborate with Market Intel: Prepare intelligence maps for client organizations, identifying decision-makers and existing vendor preferences.
Reporting: Provide weekly updates to leadership on client relationship efforts, leads, and prospective project status through our CRM tools and processes.
Solution Selling: Listen to key business requirements and map TEECOM solutions to needs expressed.
Travel: Travel (30-40%) to meet with clients, attend industry events, and participate in in-person engagements to foster relationships and drive business growth.
What Success in this Role Looks Like
Sales Plan: Working with the EVP of Client Relations and the Global Director of Business Development, inform, develop and execute a sales plan identifying client targets, top channel partners, and opportunities within the Healthcare market vertical.
Never Have Lunch Alone: Secure, on average, 5-8 meetings per week with potential end-user clients, architects and other channel partners (general contractors, engineers, PM firms, etc.).
Leads and Opportunities: Identify one new lead for consideration per week and generate two invitations per month to partner through relationship building with new and existing clients and partners.
Industry Events: Represent the firm and network at conferences and industry-related events.
Pipeline: Build an opportunity pipeline through tracking and targeting projects within target client accounts, and intel gathered through networking.
Online Presence: Establish an online presence by sharing relevant information with potential and existing clients weekly, directly via email, or professional social networking such as LinkedIn.
Experience
Bachelor's degree required. Preferred Majors: Business Administration, Marketing, Sales, or Engineering.
Fifteen years experience in a sales role with proven track record of exceeding sales goals.
Experience within the Healthcare market vertical is highly preferred.
Experience and established network within the Architecture/Engineering/Construction (AEC) industry.
Passion for relationship building, technology, and the construction industry.
Knowledge of professional services procurement process from RFPs/RFQs, Proposals, and bidding to award.
Excellent verbal and written communication skills.
Results-driven and highly ethical in practice.
Methodical, tenacious, personable, and comfortable prospecting and asking for the business.
Outstanding networking and people skills, both in person and online.
Highly autonomous, proactive, and able to manage multiple accounts and pursuits simultaneously.
Ability to work as a team and positively contribute to TEECOM culture.
Your level will be evaluated and determined during the interview process.
We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas.
NOTICE TO THIRD PARTY AGENCIES: Please note that TEECOM does not accept unsolicited resumes from recruiters or employment agencies. In the absence of a signed Recruitment Fee Agreement, TEECOM will not consider or agree to payment of any referral compensation or recruiter fee. In the event a recruiter or agency submits a resume or candidate without a previously signed agreement, TEECOM explicitly reserves the right to pursue and hire those candidate(s) without any financial obligation to the recruiter or agency. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of TEECOM.
$44k-61k yearly est. Auto-Apply 60d+ ago
Provider Relations Specialist II
Ameritas 4.7
Remote job
The ProviderRelations Specialist II serves as a liaison between the company and internal and external partners. This position develops and strengthens customer relationships by providing timely and accurate response to inquiries and conducting analysis to solve problems under limited supervision. This position may provide guidance, coaching, and training to associates.
This position will be in-office for the first week for training and will then be remote (within Nebraska) and does not require regular in-office presence.
What you do:
Act as the main point of contact for dental providers regarding participation status, credentialing, and contract-related questions.
Process new provider applications, credentialing requests, and changes to records
Respond to provider and member inquiries via phone, email, and voice mail with professionalism and accuracy.
Manage queue-based tasks including provider adds, terminations, fee schedule updates, and contract maintenance.
Review and submit audits, ensuring documentation meets compliance and credentialing standards.
Support assigned groups, handling all communications and requests.
Collaborate with internal departments and network leasing partners to ensure data consistency and proper contract loading.
Investigate and help resolve complaints from providers and members, coordinating with Compliance when necessary.
Mentor peers and assist with training new hires on systems and procedures.
Attend team meetings and stay current on internal processes, policies, and industry regulations.
What you bring:
S. Diploma or GED is required.
Associate's degree or equivalent is preferred.
2-4 years of related experience is required.
Previous experience in providerrelations or similar role highly preferred.
Insurance industry experience preferred.
What we offer:
A meaningful mission. Great benefits. A vibrant culture
Ameritas is an insurance, financial services and employee benefits provider Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life.
At Ameritas, you'll find energizing work challenges. Flexible hybrid work options. Time for family and community. But dig deeper. Benefits at Ameritas cover things you expect -- and things you don't:
Ameritas Benefits
For your money:
• 401(k) Retirement Plan with company match and quarterly contribution.
• Tuition Reimbursement and Assistance.
• Incentive Program Bonuses.
• Competitive Pay.
For your time:
• Flexible Hybrid work.
• Thrive Days - Personal time off.
• Paid time off (PTO).
For your health and well-being:
• Health Benefits: Medical, Dental, Vision.
• Health Savings Account (HSA) with employer contribution.
• Well-being programs with financial rewards.
• Employee assistance program (EAP).
For your professional growth:
• Professional development programs.
• Leadership development programs.
• Employee resource groups.
• StrengthsFinder Program.
For your community:
• Matching donations program.
• Paid volunteer time- 8 hours per month.
For your family:
• Generous paid maternity leave and paternity leave.
• Fertility, surrogacy, and adoption assistance.
• Backup child, elder and pet care support.
An Equal Opportunity Employer
Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we're committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law.
Application Deadline
This position will be open for a minimum of 3 business days or until filled.
This position is not open to individuals who are temporarily authorized to work in the U.S.
$37k-57k yearly est. 12h ago
Provider Data Management Representative I
Skygen 4.0
Remote job
What are important things that YOU need to know about this role to make you successful?
Fully Remote & Flexible Hours: Enjoy the freedom of a permanent remote position with work hours from 8:00 AM to 4:30 PM Central, Monday through Friday
Problem-Solving Pro: Tackle challenges head-on, applying sharp analytical skills to quickly break down issues and uncover the root cause with precision.
Fast Learner & Critical Thinker: Thrive in a fast-paced environment where your ability to dig deep, think critically, and find solutions is key to success.
Excel Experience is Required
SQL Experience is Preferred
What will YOU be doing for us? Manage provider directories, including entering data for new records, termination of existing records, and ongoing audits and corrections for active records. Utilize research and knowledge of network configurations and the Enterprise system to resolve provider data questions and discrepancies.
What will YOU be working on every day?
Set up newly activated provider records in the Enterprise system's participating networks
Manually load rejected provider data into the Enterprise system, reviewing data for discrepancies in data received. Research or coordinate or escalate for clarification from the client for issues related to data received.
Perform quarterly data verification procedures in accordance with company procedures and CMS requirements, validating the provider network.
Coordinate with ProviderRelations to conduct outreach to provider offices to resolve provider data questions and discrepancies
Utilize the Provider-related modules in the Enterprise System to research and resolve provider data set up issues and discrepancies
Complete follow ups, service tickets, and emails according to the department expectations.
Work with internal departments to resolve simple to moderately complex follow ups and service tickets generated from clients, providers and internal sources
Using automated systems, maintain updated data on client and Skygen owned provider networks by verifying accuracy and handling any exceptions or issues
Work directly with client representatives to resolve provider data issues and update provider data per client or provider request.
Act as a liaison between internal Skygen teams to resolve escalated contracting and fee issues related to provider data errors or discrepancies
Act as a liaison between internal Skygen team and Dental Reimbursement to resolve any escalated claim inquiry related to provider data errors or discrepancies
Work with internal departments to resolve provider complaints and escalations including state level complaints
Assist Client Services in researching and resolving client inquiries that involve in depth knowledge of provider set ups
Process EFT set up requests form provider offices
What qualifications do YOU need to have to be GOOD candidate?
Required Level of Education, Licenses, and/or Certificates
High school diploma or equivalent
Required Level of Experience
1 -2 years of prior related experience in resolving escalated and challenging customer/client issues, experience managing large quantities of data accurately and efficiently, experience identifying and resolving data discrepancies
Required Knowledge, Skills, and Abilities
Intermediate knowledge of Microsoft Office products including Word, Excel, and Outlook
Solid communication written and verbal communication skills
Ability to communicate effectively with a variety of communication styles
Strong analytical skills
Ability to effectively listen and respond to internal and external customer needs
Ability to resolve routine to moderately complex problems
Ability to adapt to changing priorities
Ability to successfully work cross-functionally to resolve problems
High degree of accuracy
Ability to recognize patterns and variation in data and identify errors
What qualifications do YOU need to have to be a GREAT candidate?
Preferred Level of Education, License, and/or Certificates
2 year degree or some formal education beyond high school
Preferred Level of Experience
1-2 years in a data management or provider data management role
Preferred Knowledge, Skills, and Abilities
Knowledge of standard dental, medical and/or therapy terminology
Knowledge of internal software
The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.
Compensation Range: $17.88 - $26.81
Compensation Midpoint: $22.35
$17.9-26.8 hourly Auto-Apply 1d ago
Temporary Provider Service Representative
Maine Staffing Group
Remote job
Job Description Now Hiring: Provider Services Representative (Temporary, Remote!) Looking for a role where your communication skills shine, your problemsolving brain gets a workout, and your customer service superpowers actually matter? This remote Provider Services Representative position might be your perfect match.
Pay Range: $19.61-$24.22
Assignment: Temporary (through 5/31/26)
Location: 100% Remote
Hours: 8:00-4:30 or 8:30-5:00, Monday-Friday - no nights, no weekends
Interview: 30minute Zoom with the leadership team
What You'll Do
You'll be the friendly, knowledgeable voice supporting providers with benefit, billing, and claims questions. Expect fast-paced calls, plenty of problemsolving, and the chance to make someone's day a little easier.
What Makes You a Great Fit
• Strong customer service background
• Clear, confident communication
• Active listening skills
• Ability to talk + type accurately during highvolume calls
• Comfort researching benefits, billing, and claims
• Sharp attention to detail and reliable documentation
• Organized, calm under pressure, and great at multitasking
• Solid computer and dataentry skills
• Positive attitude and ability to work independently
• Healthcare or medical billing experience is a bonus (not required)
Why You'll Love It
• Fully remote work
• Consistent weekday schedule
• Supportive leadership
• A role where your skills truly matter
$19.6-24.2 hourly 5d ago
Sales & Service Representative
MRC Services Co 4.6
Remote job
MRC Global serves the oil and gas industry across the upstream, midstream and downstream sectors as well as the chemical and gas distribution market sectors worldwide.
***This is a remote opportunity***
Job Purpose
The Sales & Service Representative is responsible for delivering business-to-business customer service through the order process of pipe, valves, and fitting products (PVF). The Sales & Service Representative creates
and/or enters quotes, process customer orders, and resolves customer issues. The Sales & Service Representative plays a critical role in maximizing value for customers while driving MRC Global strategies for safety, gross margin growth, and financial/operational performance.
Key Duties & Responsibilities
Individual must be able to perform the essential duties with or without reasonable accommodation.
Respond to customer requests for quotes by sourcing products from the Company's existing inventory or purchasing them externally.
Build quotes that simultaneously create value for the customer and profitability for MRC Global.
Identify and actively pursue sales opportunities to contribute to overall sales growth.
Ability to proactively engage with customers and utilize product knowledge to make recommendations and offer add-on solutions that maximize customer delight and drive sales growth.
Utilize MRC Global systems/software to create quotes, locate available products/materials, process customers' orders, create vendor purchase orders (PO), and perform other tasks related to customer needs.
Adhere to customer contract requirements related to pricing/non-contract pricing, freight, delivery schedules, and KPIs.
Verify the on-time shipping/delivery status of pending inbound and outbound shipments.
Communicate status proactively with the customer and adjust product sourcing efforts if needed.
Proactively respond to customers' needs and concerns with options by using a problem-solving approach.
Validate that products specified in customers' quote requests are permitted per their respective approved manufacturer's list (AML) or other customer-provided specifications.
Reference customer processing guides and other tools/resources to maintain familiarity with customer preferences/processes.
Consult with a manager, other MRC Global departments, and suppliers as necessary to create the best possible customer experience.
Service next-level customer needs, including orders involving externally sourced labor, return material authorizations (RMA), purchase order changes, and orders involving special invoicing needs.
Communicate responsively and professionally with customers, suppliers, and coworkers to execute all main steps of the order process.
Required Experience
One (1) or more years' experience in a dedicated customer-facing role, inside sales, and/or warehouse services.
OR recent completion of post-secondary education to include any of the following: Technical/Trade School, associate degree, bachelor's degree, preferably with studies in industrial or sales.
Skills & Abilities
Competent in the use of computers and software applications.
Ability to communicate and promote ideas and transfer detailed knowledge to others.
Ability to effectively present information in one-on-one and small group situations.
Attention to detail and work with a sense of urgency.
Working Conditions
Frequent driving/traveling.
Able to interact with others frequently.
Most work is performed at a desk or in front of a computer.
Able to sit/stand for long periods of time.
For additional position-specific details regarding the physical and mental demands and working conditions, contact Human Resources.
Reasonable accommodation may be made to enable individuals to perform essential functions.
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
California Employee Data Collection Notice
$30k-36k yearly est. Auto-Apply 15d ago
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