Customer Service Representative- Provider Services

UPMC is a healthcare provider dedicated to delivering exceptional service and support. As a Provider Service Representative, you will be the primary point of contact for providers, assisting them with claims, benefits, and authorizations while ensuring clear and professional communication.

Responsibilities

• Be the primary point of contact for providers and vendors—answering questions about claims, benefits, authorizations, billing, and network participation
• Respond to inbound calls, emails, and chats with professionalism and accuracy
• Explain processes and policies clearly so providers know exactly what to do next
• Research claims and benefits to provide timely, informed solutions
• Document every interaction accurately in our systems
• Navigate multiple tools while staying focused and responsive
• Make outbound calls to provide updates or resolve issues
• Stay current on policies and system updates through ongoing training
• Collaborate with your team and participate in skill-building sessions

Skills

• High school graduate or equivalent
• 2 years customer service experience or call center experience required OR 1 year health insurance call center and claims adjustments experience required
• Proficient in typing and writing skills required
• Ability to make independent decisions required
• Complex analytical skills necessary to evaluate customer inquiries
• Demonstrates good organizational skills
• A desire to help others and portray empathy in all situations
• Ability to learn complex health plan information
• Demonstrate flexibility and motivation to learn & grow in the position
• Flexibility in work schedule
• Knowledge of Microsoft Office and Excel spreadsheet program preferred

Benefits

• Health, dental, vision, and more

Company Overview

Company H1B Sponsorship