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Provider Relations Rep

Expired Job

CTG Las Vegas , NV 89134

Posted 4 months ago



Required Function 1: We are seeking a talented individual for a Provider Relations Representative I who is responsible for interfacing with the Physician/Provider population to recover payment on behalf of our client(s). Ensure production and quality standards are met.

Required Function 2:

Essential Responsibilities:
Initiates phone calls to customers, (providers/pharmacies/patients/carriers etc) to confirm receipt of mailings, and to request action.

Provides timely response and resolution for all provider initiated inquires (phone calls, emails or faxes). Reviews and analyzes documentation and claim data to determine validity and proper action. Updates accounts receivable system with denial and group information. Assists with high priority special projects.

Required Function 3:

Knowledge, Skills and Abilities: Ability to work proficiently with Microsoft Word.

Ability to multi-task and prioritize. Ability to be careful and thorough about detail.

Ability to organize well. Ability to demonstrate a customer service orientation.

Required Function 4:

Minimum Education:High School Diploma or GED required

Required Function 5:

Minimum Related Work Experience:2 years' experience as an examiner/processor with exposure to medical terminology and claim processing experience in Commercial Insurance or Government Programs required 2 years previous experience in a claims customer service environment OR 2 years of answering inbound calls regarding claims processing


CTG (NASDAQ: CTG) provides industry-specific IT services and solutions that address the business needs and challenges of clients in high-growth industries in North America and Western Europe.

CTG also provides strategic staffing services for major technology companies and large corporations. Backed by more than 50 years of experience and proprietary methodologies, CTG has a proven track record of reliably delivering high-value, industry-specific staffing services and solutions to its clients. CTG has operations in North America, Western Europe, and India.

CTG's greatest asset is its people, and as such, we are committed to providing employees programs and processes to support their performance, hone their skills, and advance in their careers. This commitment is reflected by CTG being named a Best Places to Work in Healthcare company by Modern Healthcare (2013-2016) in North America, and a Best Workplace in the United Kingdom (2013), Belgium (since 2007), and Luxembourg (since 2011).

CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.

CTG is an Equal Opportunity/Affirmative Action Employer and strong advocate of workforce diversity. Minority/Female/Sexual Orientation/Gender Identity/Disability/Veteran.

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Provider Relations Rep

Expired Job