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The Portal Services Representative I will assist members, providers, and clients with web-based solutions, emphasizing education about portals, documentation of calls, and escalation of issues. Responsibilities include generating insights for internal departments and handling administrative tasks.

The Appeals & Complaints Specialist reviews and processes dental and vision complaints and appeals, communicates with internal and external entities, and maintains compliance with documentation standards.

Manage provider relationships and outreach, provide education on best practices, resolve provider issues, and collect feedback to improve services.

Supervise the Helpdesk team to ensure high-quality customer service and maintain service levels. Responsibilities include leading staff, managing support operations, handling escalations, and documenting processes.

The role involves recruiting providers, conducting negotiations, maintaining relationships, ensuring compliance, and performing market analysis to meet contractual requirements in a remote setting.