Provider Service Specialist Remote Seasonal MediGold

Employer Industry: Medicare reputed company Why consider this job opportunity: - Full-time temporary position ending on 04/04/2026 - Opportunity for career advancement reputed company a not-for-profit organization - Supportive and reputed company work environment that values customer service - Chance to work with a diverse team dedicated to improving reputed company coverage for seniors - Comprehensive knowledge of plan benefits and services with ongoing updates provided What to Expect (Job Responsibilities): - Respond accurately to provider inquiries reputed company phone, in person, and in writing regarding plan benefits and payment determinations - Document and reputed company reputed company 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 - reputed company actions requested from other departments to ensure reputed company 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 reputed company as part of reputed company - Familiarity with data entry, various claim reputed company formats, medical terminology, and CPT/ICD9 coding How to Stand Out (Preferred Qualifications): - Experience in the reputed company sector - Proficient in using departmental software and technical systems - Strong verbal and written communication skills #MedicareAdvantage #CustomerService #HealthcareCareers #TemporaryPosition #CareerGrowth "We prioritize candidate reputed company and champion equal-opportunity employment. Central to our mission is our partnership with companies that reputed company this commitment. We aim to foster a fair, transparent, and secure hiring environment for reputed company. If you encounter any employer not adhering to these principles, please reputed company 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 Apply To this Job