Job Description

a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; } Do you enjoy solving problems and helping others succeed? As a Provider Service Representative, you'll be the go-to resource for providers, vendors, and facilities-making sure they have the answers and support they need. You'll guide them through eligibility, benefits, claims, and more, ensuring every interaction is clear, accurate, and professional. This isn't just a job-it's an opportunity to make a real impact by building trust and confidence in our Health Plan. You'll play a key role in strengthening provider relationships while delivering exceptional service. Why You'll Love This Role + Competitive pay: $21.70/hour + Comprehensive benefits: Health, dental, vision, and more + Career growth: A clear path for advancement + Training that sets you up for success: We provide full on-the-job training + Flexibility: Work from home or choose an in-office option + Standard hours: Monday-Friday, 8:00 a.m.-5:00 p.m. _(Candidates must live within 90 miles of Pittsburgh or Erie.)_ What You'll Do + 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. What It Takes This role is fast-paced and requires strong multitasking skills, quick thinking, and the ability to stay calm under pressure. If you're organized, tech-savvy, and passionate about helping others, you'll thrive here. Work-From-Home Requirements + Internet speed: 20 Mbps download / 5 Mbps upload + Ping: <50ms, Jitter: <10ms + Direct connection via Ethernet cable (WiFi and hotspots not allowed) + Compatible service: Cable or fiber (Satellite, DSL, and mobile hotspots are not allowed) _A speed test will be required upon offer acceptance._ Ready to make a difference and grow your career? Apply today and join a team that values your skills and commitment to service excellence! + High school graduate or equivalent. + 2 years customer service experience or call center experience required OR1 year health insurance call center and claims adjustments experience required. + Proficient in typing and writing skills required. + Ability to make independent decisions required. + Knowledge of Microsoft Office and Excel spreadsheet program preferred. + 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 scheduleLicensure, Certifications, and Clearances:UPMC is an Equal Opportunity Employer/Disability/Veteran

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Work at office, Monday to Friday,

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