Provider Touch Specialist – Lead Assistant Manager

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

📋 Description

• Act as the main point of contact for inquiries related to provider audits, claims reimbursement status, and service-related issues.

• Deliver training and education on the submission of claims audit records, including timelines and procedural guidelines.

• Support providers in maximizing their use of the portal and comprehending service improvements.

• Identify and rectify operational inefficiencies while applying data-driven solutions.

• Investigate and resolve intricate claims problems, ensuring prompt and effective communication regarding resolutions.

• Collaborate with internal teams to enhance tools, resources, and support systems for providers.

• Leverage business acumen and sound judgment to navigate ambiguous scenarios and handle non-standard requests.

• Establish and nurture strong relationships with providers, ensuring their needs are met in alignment with company policies.

• Contribute to the success of the Provider Touch Team by promoting collaboration and improving the overall experience for providers.

⛳️ Requirements

• A minimum of 4 years of experience in healthcare or managed care environments.

• At least 3 years of experience directly interacting with providers.

• Intermediate understanding of claims processing and auditing procedures.

• Strong foundation in claims processing.

• Exceptional verbal and written communication abilities.

• Excellent interpersonal skills with the capacity to build rapport and sustain positive relationships.

• Strong customer service orientation with a focus on solutions.

• Comprehensive knowledge of healthcare operations and industry best practices.

• Proficiency in PC skills and data processing software applications.

🏝️ Benefits

• A robust benefits package that includes Healthcare, Vision, Dental, and 401(k) options.

• Opportunity to collaborate closely with leading healthcare consultants from the outset.

• Gain insights into various facets of our clients' businesses while honing vital teamwork and time-management skills.

• Participate in our structured mentoring program, where junior staff receive guidance from experienced professionals.

• Enjoy unlimited growth opportunities within EXL and beyond.