Provider Services Representative
CurrentIn this position I develop and maintain service relationships with all participants such as physicians, providers, and administrators of the Mobile and Baldwin county provider network. In this position I regularly visit provider offices to assist with any issues they may have. I respond to inquiries via phone and email from providers about policies, claim issues, referrals, eligibility, and credentialing. I perform audits on provider offices and ensure our physician directory is accurate. I assist in investigations with appeals and grievances. I also assist our sales team with provider education and luncheons.