Provider Relations Advocate

Provider Relations Associate Analyst - Evernorth
Pay Rate: $20/hour, paid weekly
Schedule

• Training Hours are 8:30am – 5:00pm CST
• Regular Hours (after training) are 10:30am – 7:00pm CST

Location: Fully remote, but strongly prefer candidates located in CST/PST
Target Start Date: Late Oct/Early Nov 2025
Benefits: Health, Dental and Vision

Contractors will initially be trained to take calls regarding Eligibility and Benefits from Behavioral Health Providers. This initial training is required before learning how to service Claim and PR (Provider Relations) calls. 

Job Description and Role Summary:
The Claims & PR (Provider Relations) Advocate will service inbound claim calls from both members and providers or their office support staff. Occasional outbound calls are required to resolve claim issues.
The types of calls a Claims & PR Advocate services may include but are not limited to:

• Inquiries about claim status details, claim reprocessing requests, provider contract questions or requests to update demographics.
• Due to the wide variety of call types, several applications are required to service these inquiries, and multiple applications are often needed within the same call.
• Independent problem solving, multitasking, and technical savvy are essential to be able to carry out the responsibilities of this role.
• Calls must be serviced in a helpful and professional manner.

Responsibilities:

• The primary responsibility of this role is to answer inbound claim calls from members or providers, as well as contracting and Provider Relations related calls from providers.
• The work environment is structured, and most of the day will be spent answering these calls from a queue.
• Occasional outbound calls may be necessary for issues requiring follow-up.

Education:

• A bachelor's degree is required.
• No certs or licenses required

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