Provider Services Senior Representative OrthoNet
THIS JOB HAS EXPIRED POSITION SUMMARY:
The Provider Relations Senior Representative has the administrative responsibility for representing OrthoNet in its
relationships with its contracted providers and provider internal support to Provider Services representatives.
Customer service representative with experience in a healthcare environment with a concentration in
Excellent communication skills.
Familiarity with provider administrative and billing protocols.
ESSENTIAL DUTIES AND RESPONSIBILITIES INCLUDE THE FOLLOWING:
Conveying the benefits and obligations of membership in OrthoNet.
Distributing information to providers and staff.
Monitoring of services to ensure providers satisfaction.
Ensuring that established OrthoNet care guidelines are communicated.
Serve as liaison for any communication between OrthoNet and provider.
Assists providers with practice management information when appropriate.
Provide assistance to PSRs with questions & concerns
Handle escalated provider calls to ensure first call resolution
Handle EOBs, Refund Requests & Stop Payment requests
Follow up on all Web Inquiries
Handle a multitude of administrative tasks affiliated with escalated issues involving the member, provider or health plans.
Perform all other duties thats assigned
EDUCATION AND/OR EXPERIENCE:
High School Diploma or GED Required
Knowledge, Skills & Abilities:
Interpersonal and communication skills
Proficiency in operating computers applications.
Excellent interpersonal skills.
Excellent verbal and written communications skills.
MACHINES, OFFICE EQUIPMENT & SOFTWARE:
MS Office (MS Word, Excel, and Power Point).
||1311 Mamaroneck Avenue |
White Plains, NY 10605
THIS JOB HAS EXPIRED