Collabrios Health · 11 hours ago
Provider Services Representative
United States
Full-time
Remote
Entry, Mid Level
2+ years expCollabrios Health delivers purpose-built software solutions that unify the entire care journey. They are seeking a dedicated Provider Services Representative to support their provider network by resolving inquiries related to claims, payments, and policies in a high-volume call center environment.
Health CareInformation TechnologySoftware
Responsibilities
Respond to high-volume provider inquiries about claims, payments, access, and policies with clear, professional, and empathetic communication
Investigate and resolve issues related to claim status, payment discrepancies, coding, and eligibility. Partner with internal teams to ensure timely and accurate resolution
Accurately document provider interactions in CRM platforms and manage workflows through internal systems
Help providers navigate claims processes, documentation requirements, and Collabrios systems. Identify common questions or concerns and suggest improvements to educational resources
Participate in training on evolving systems, processes, and compliance requirements. Support new team members by sharing best practices
Ensure all actions comply with HIPAA and internal standards. Contribute to quality improvement by identifying process gaps and recommending solutions
Qualification
Required
High school diploma or equivalent required
2+ years of experience in healthcare, insurance, or a TPA environment, preferably in a provider service or claims role
Understanding of Medicare, Medicaid, and PACE programs
Working knowledge of medical claims processing and healthcare terminology
Proficiency with CRM or ticketing systems (e.g., Jira, Salesforce) and Microsoft Office Suite
Clear and professional verbal and written communication skills
Strong analytical, problem-solving, and organizational skills
Ability to manage multiple priorities in a fast-paced, deadline-driven environment
Familiarity with HIPAA and healthcare compliance standards
Self-starter who takes initiative and follows through on tasks
Preferred
Experience contributing to process documentation or policy development is a plus
Benefits
Competitive health benefits, including medical, dental, and vision coverage
401(k) with company contribution
Flexible paid time off (PTO), plus 72 hours of sick time
Flexibility and trust—we empower our team to manage their schedules and work in ways that support their lives
Opportunities for learning, mentorship, and professional development
A values-driven environment where diverse perspectives are welcomed and purpose guides our work
Company
Collabrios Health
Collaborios Health is an IT company that provides software for healthcare.
51-200 employees
Funding
Current Stage
Growth StageRecent News
2025-11-05
Company data provided by crunchbase