Provider Service Advocate - Remote - Ascendo : Job Details

The Provider Service Advocate will serve as a key liaison between healthcare providers and the organization, ensuring effective communication and delivering support on various service-related issues. This role focuses on helping healthcare providers understand policies, procedures, and claims processes while addressing inquiries, resolving issues, and ensuring high-quality service standards. The Provider Service Advocate will work closely with internal teams to improve provider satisfaction and ensure accurate and timely information is provided.Key Responsibilities:

• Serve as the primary point of contact for healthcare providers, addressing inquiries regarding claims, benefits, and reimbursement issues.
• Provide guidance on network participation, billing procedures, and claim status.
• Assist with provider enrollment, credentialing, and maintaining up-to-date provider information.
• Resolve issues related to claims processing, payment discrepancies, and other provider-related concerns.
• Educate providers on available tools and resources for claims submission, status tracking, and system navigation.
• Maintain accurate documentation of provider interactions, case resolutions, and service requests.
• Collaborate with cross-functional teams (e.g., claims, billing, and customer support) to resolve complex provider issues.
• Monitor trends in provider concerns and suggest process improvements to enhance provider experience and service delivery.
• Ensure compliance with all regulatory and contractual requirements related to provider services.
• Assist in developing and implementing training materials and provider communication strategies.

Education & Experience Requirements:

• High School Diploma or equivalent required; Associate's degree or higher preferred.
• 2+ years of experience in healthcare provider relations, customer service, or a related field.
• Knowledge of healthcare insurance, claims processes, and provider networks.
• Proficiency in Microsoft Office Suite; experience with provider management systems is a plus.

Knowledge, Skills, and Abilities:

• Excellent communication and interpersonal skills, with the ability to effectively interact with diverse healthcare providers.
• Strong problem-solving skills with a focus on resolution and customer satisfaction.
• Ability to work in a fast-paced environment and manage multiple priorities.
• Detail-oriented with strong organizational skills.
• Ability to work independently while collaborating with cross-functional teams.
• Strong understanding of healthcare industry regulations and provider agreements.
• Ability to adapt to changing policies, procedures, and provider needs.
• Demonstrated ability to deliver high-quality service in a provider-facing role.

Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity. Ascendo is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law.Contact information Lauren Gerretz