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Provider Services Representative
Provider Services RepresentativeCollabrios Health LLC • Lafayette, CA, US
Provider Services Representative

Provider Services Representative

Collabrios Health LLC • Lafayette, CA, US
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Job Description

Job Description

Description :

Collabrios delivers purpose-built software solutions that unify the entire care journey. By combining deep industry expertise with cutting-edge technology, we empower care providers to streamline operations while delivering exceptional care. From PACE programs to government agencies, our integrated technology infrastructure supports the full spectrum of care delivery.

Job Overview

We are seeking a dedicated and detail-oriented Provider Services Representative to support our provider network by resolving inquiries related to claims, payments, system access, and policies. This is a client-facing, high-volume call center role where you’ll serve as a key point of contact for providers, ensuring accuracy, efficiency, and a positive experience.

We hire for this position on a rolling basis. Applications are reviewed during active hiring windows, and we’ll be in touch if your background is a match.

Key Responsibilities

  • Provider Communication : Respond to high-volume provider inquiries about claims, payments, access, and policies with clear, professional, and empathetic communication.
  • Claims Research & Resolution : Investigate and resolve issues related to claim status, payment discrepancies, coding, and eligibility. Partner with internal teams to ensure timely and accurate resolution.
  • CRM & Systems Management : Accurately document provider interactions in CRM platforms and manage workflows through internal systems.
  • Provider Support & Education : Help providers navigate claims processes, documentation requirements, and Collabrios systems. Identify common questions or concerns and suggest improvements to educational resources.
  • Process & Policy Training : Participate in training on evolving systems, processes, and compliance requirements. Support new team members by sharing best practices.
  • Quality Assurance & Compliance : Ensure all actions comply with HIPAA and internal standards. Contribute to quality improvement by identifying process gaps and recommending solutions.

Requirements : What You Bring :

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
  • Experience contributing to process documentation or policy development is a plus

    • What We Offer

    At Collabrios Health, we’re committed to fostering a workplace that supports your well-being, growth, and ability to make a meaningful impact. Here’s what you can expect when you join our team :

  • A connected, virtual-first culture with a collaborative, mission-driven team
  • Competitive health benefits, including medical, dental, and vision coverage
  • 401(k) with company contribution
  • Generous paid time off, including 15 PTO days, 2 floating holidays, and 6 sick days
  • 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

    • We’re committed to building a diverse and inclusive workplace.

    Collabrios is an equal opportunity employer. We welcome candidates from all backgrounds, identities, and experiences. If you’re excited about this role but your experience doesn’t align perfectly with every qualification, we encourage you to apply anyway. You may be the right candidate for this or other roles.

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    Provider Representative • Lafayette, CA, US