Provider Customer Service Representative – Health Insurance

This is a fully remote position, open to applicants in Egypt.

📋 Description

• Address inquiries related to claims status, denial explanations, appeals, medical records, research/routing, and requests for EOB/EOP.

• Manage inquiries regarding authorization and utilization management status, denial reasons, appeals, and verification of prior authorizations.

• Confirm provider participation, eligibility, coverage, medical benefit grids, and credentialing.

• Thoroughly document call details and facilitate resolutions.

• Clarify next steps and guide providers on utilizing self-service tools such as Availity.

• Handle consecutive calls efficiently.

• Assist in meeting the growing demands of a health insurance company customer.

⛳️ Requirements

• High School Diploma or equivalent qualification.

• 1–2 years of experience in a high-volume call center environment.

• Typing speed of 35–40 words per minute.

• Excellent written and verbal communication skills.

• Proficient in active listening, problem-solving, and multitasking.

• A dedicated, quiet workspace.

• Ability to adhere to a strict schedule.

• Minimum internet speed of 10 Mbps download and 2 Mbps upload.

• Must be a US resident with authorization to work in the US.

• Position is available to those eligible to work in the USA.

• Preferred: 1–2 years of experience in a medical office, healthcare insurance, billing/coding, or backend processing.

🏝️ Benefits

• Paid training.

• Medical, dental, and vision insurance.

• Flexible vacation policy following training.

• Provision of company equipment.

• Employee assistance program (EAP) and wellness program with a dedicated trainer.

• Employee discounts.

• 80% internal promotion rate.