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Revelations is committed to providing equal employment opportunity to all employees and applicants. Employment decisions are made without regard to race, color, religion, creed, sex (including pregnancy, sexual orientation, gender identity or expression), national origin, age, disability, genetic information, marital status, veteran status, or any other characteristic protected by federal, state, or local law. This policy applies to all aspects of employment, including recruitment, hiring, compensation, promotion, training, discipline, and termination.
Provider Systems Support Specialist
Location
United States
Posted
2 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Provider Systems Support Specialist
Revelations Counseling & Consulting LLC
Role Description Provides systems and transactional support and education to providers via phone and email. This position will function as a resource to providers with questions related to the CareAffiliate and Availity system. This position is proficient at handling all provider systems inquiries. This role requires the ability to interface with providers regularly, ensuring they are informed and empowered to use the platform effectively. Qualifications - Required: H.S Diploma or G.E.D. - U.S. Citizenship - Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation - 2+ years of experience in a high-volume customer service, medical office or contact center environment - Technology literate and experienced in navigating multiple screens or web browsers at one time and proven ability to work independently in a remote work environment. - Preferred: Bachelor’s degree in Business, Health Care Administration, or related field - Health care or provider systems application support experience Requirements - Monitor and triage inbound support requests, ensuring prompt and accurate responses. - Conduct outbound calls to providers dealing with navigation issues, applying in-depth knowledge of Availity and CareAffiliate solutions, processes, and procedures. - Interface with providers to understand and resolve issues, offering clear, step-by-step guidance. - Perform root cause analysis using TriWest internal reports, to provider data challenges and communication with cross-functional teams for escalation. - Use de-escalation techniques when necessary to ensure a positive provider experience. - Maintain accurate documentation of interactions to inform future support strategies. - Stay updated on platform features and product changes to provide accurate support. - Ensures calls and issues are identified, tracked, reported on and resolved in a timely manner. - Maintains comprehensive tracking and documentation for all identified issues to completion. - Performs other duties as assigned. - Regular and reliable attendance is required. Benefits - Ability to work 10:00 - 18:30 EST M-F - Works in a remote office environment - Extensive computer work with prolonged sitting and wearing of headset Company Description Revelations is committed to providing equal employment opportunity to all employees and applicants. Employment decisions are made without regard to race, color, religion, creed, sex (including pregnancy, sexual orientation, gender identity or expression), national origin, age, disability, genetic information, marital status, veteran status, or any other characteristic protected by federal, state, or local law. This policy applies to all aspects of employment, including recruitment, hiring, compensation, promotion, training, discipline, and termination.
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