Provider Services Specialist I

Position Overview:

We are seeking energetic and reliable professionals to join the Zelis team as a Provider Services Specialist. This call center position is primarily responsible for answering inbound calls from providers and healthcare facilities. The Provider Services Specialist ensures providers successfully register for Zelis services and navigate the portal to view payment details. Our Provider Services Specialists are often the first point of contact, so we are interested in hiring individuals with a commitment to customer satisfaction and the ability to make quick and accurate decisions.

Duties and Responsibilities:

• Handle inbound and outbound calls efficiently.

• Assist providers with the Zelis provider portal.

• Respond to email inquiries promptly.

• Identify and resolve caller issues.

• Address concerns with empathy.

• Listen actively and manage difficult callers.

• Submit tickets, reset passwords, unlock accounts, and explain services.

• Follow up on complaints and issues.

• Meet or exceed call center metrics.

• Maintain confidentiality and follow HIPAA.

• Prevent and address fraudulent activity.

• Follow company policies and procedures.

• Use software and tools effectively.

• Prioritize provider satisfaction.

Requirements:

• Strong verbal and written communication.

• Active listening and attention to detail.

• Problem-solving skills.

• Technical aptitude for multiple applications.

• Ability to work in a structured environment.

• Exceptional customer service and phone skills.

• Multitasking and time management.

• Proficiency with CRM software and MS Office.

• Motivated and energetic work ethic.

• Typing speed of 40+ wpm.

Experience:

• 1-2 years in call center/customer service.

• Preferred experience in financial or healthcare services.

• Bilingual/Spanish is a plus.

Education:

• High school diploma or equivalent.

As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We're Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.

Commitment to Diversity, Equity, Inclusion, and Belonging

At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.

Equal Employment Opportunity

Zelis is proud to be an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.

Accessibility Support

We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email TalentAcquisition@zelis.com

SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you're contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.