TriWest Healthcare Alliance

  • Provider Phone Sppt Spec

    Recruiting Location Phoenix, AZ
    ID 2019-2800
  • Overview

    Job Summary


    Provides technical and transactional support and education to providers via phone. This position is proficient at handling all provider service inquiries from simple to complex in a multi-tasking environment. Function as a resource to providers with questions related to the VA Program, contracting, claims, or authorizations.






    Key Responsibilities


    o Conducts outbound calls to providers dealing with complex issues, applying in-depth knowledge of program, processes, and procedures. Provides excellent customer service.
    o Provides analysis and problem resolution for issues resulting from provider utilization of TriWest secured provider portal.
    o Handles inbound calls from providers regarding contracts, credentialing and negotiation. Escalate and triage to appropriate department staff as needed. Provides excellent customer service.
    o Ensures calls and issues are identified, tracked, reported on and resolved in a timely manner.
    o Maintains comprehensive tracking and documentation for all identified issues to completion.
    o Applies comprehensive knowledge of the VA program and its related technology in handling service calls and education of providers.
    o Proficient at technical problem solving and decision making.
    o Performs other duties as assigned.
    o Regular and reliable attendance is required.


    Education & Experience


    o Associates degree in Business, Health Care Administration or related field or equivalent experience
    o 2+ years of experience in a high volume customer service, medical office or contact center environment


    o Bachelor's degree in Business, Health Care Administration or related field
    o VA Program experience
    o Excellent written and verbal communication skills


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