Provider Relations Specialist

Posted 7 Days Ago
Be an Early Applicant
Clearwater, FL, USA
In-Office
Entry level
Insurance • Professional Services • Software • Financial Services
The Role
Maintain and update the provider database, process provider correspondence and electronic claims, resolve provider-related issues, obtain W-9s and update returned 1099s, monitor system reports, communicate with providers via phone/mail/email/fax, and use Excel for tracking. Cross-train to support team efficiency and meet service standards.
Summary Generated by Built In

Provider Relations Specialist

Insurance Administrative Solutions

Clearwater, FL

About Insurance Administrative Solutions

Insurance Administrative Solutions (IAS) is a third-party provider of comprehensive administrative solutions for our clients in the insurance industry. We offer a business process outsourcing solution that helps insurers optimize administrative workload, bolster their industry expertise, leverage emerging technologies, and streamline operations. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results. Here at IAS, we embrace the fact that great things are only accomplished by working as a team. We believe that all of our employees have valuable input no matter the level. Our highly collaborative team environment offers each of our employees a place where they can excel.

Job Summary

The provider specialist is responsible for maintaining control of the provider database in all aspects.   Handles all provider-related claims issues with internal and external customers, processes electronic claims with provider-related problems, contacts providers when necessary and handles other provider information issues.  Responsible for obtaining W-9s, as well as recognizing, researching and resolving any discrepancies noted.  System generated provider reports are monitored and worked daily.   

Primary Responsibilities: (Other duties may be assigned as necessary):

  • Maintain provider database; adding new entries, making changes to provider information.

  • Process incoming provider correspondence.

  • Process electronic claims in a special provider mailbox.

  • Research provider checks returned by post office. 

  • Utilize Excel spreadsheets for tracking purposes.

  • Handle provider-related problems that are referred to the unit from the claims departments.

  • Make and receive phone calls to and from providers.

  • Send correspondence to providers via mail, email or fax.

  • Review and process reports as assigned.

  • Log, research and update addresses for returned 1099’s

  • All duties above need to be performed with accuracy and speed.

  • Actively participate in cross training to maximize team efficiency and maintain or exceed service standards.

Primary Skills & Requirements: 

  • ·High school education

  • ·Insurance, PC, Windows, and Word experience is required.

  • ·Excel experience is advantageous. 

Benefits:

  • Medical/Dental/Vision Benefits first of the month after hire date

  • 401(k) Company matching and contributions are immediately vested

  • 15 days PTO after 90 days

  • Referral program

  • 11 Paid Holidays

  • Employee Assistance Program

  • Tuition Reimbursement

Schedule:

  • Monday to Friday

  • 37 hour work week

About Integrity

Integrity is one of the nation’s leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead.

Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you’ll love, and we’ll love you back. We’re proud of the work we do and the culture we’ve built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. 

Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are — in person, over the phone or online. Integrity’s employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com.

Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.

Skills Required

  • High school education
  • Insurance, PC, Windows, and Microsoft Word experience
  • Microsoft Excel experience
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The Company
29,757 Employees
Year Founded: 2006

What We Do

Integrity Marketing Group is a leading omnichannel insurtech platform and one of the nation's largest independent distributors of life and health insurance products. The company leverages data and proprietary technology to provide holistic health, life, and wealth solutions, primarily focusing on the senior market. It offers a broad platform of resources and tools to support its network of independent agents.

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