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.ResponsibilitiesBe the primary point of contact for providers and vendors—answering questions about claims, benefits, authorizations, billing, and network participationRespond to inbound calls, emails, and chats with professionalism and accuracyExplain processes and policies clearly so providers know exactly what to do nextResearch claims and benefits to provide timely, informed solutionsDocument every interaction accurately in our systemsNavigate multiple tools while staying focused and responsiveMake outbound calls to provide updates or resolve issuesStay current on policies and system updates through ongoing trainingCollaborate with your team and participate in skill-building sessionsSkillsHigh school graduate or equivalent2 years customer service experience or call center experience required OR 1 year health insurance call center and claims adjustments experience requiredProficient in typing and writing skills requiredAbility to make independent decisions requiredComplex analytical skills necessary to evaluate customer inquiriesDemonstrates good organizational skillsA desire to help others and portray empathy in all situationsAbility to learn complex health plan informationDemonstrate flexibility and motivation to learn & grow in the positionFlexibility in work scheduleKnowledge of Microsoft Office and Excel spreadsheet program preferredBenefitsHealth, dental, vision, and moreCompany OverviewUPMC is one of the leading nonprofit health systems in the United States. A $10 billion integrated global health enterprise headquartered It was founded in 1893, and is headquartered in Pittsburgh, Pennsylvania, USA, with a workforce of 10001+ employees. Its website is https://www.upmc.com/.Company H1B SponsorshipUPMC has a track record of offering H1B sponsorships, with 3 in 2025, 7 in 2024, 4 in 2023, 7 in 2022, 7 in 2021, 13 in 2020. Please note that this does not guarantee sponsorship for this specific role.



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