Provider Service Representative

The Provider Service Representative handles inbound and outbound calls to providers and policyholders, resolving inquiries related to benefits, claims, eligibility, and provider configurations. The role serves as the primary contact for provider-related issues within the MCS Classicare and MCS Life Networks, ensuring compliance with HIPAA and company guidelines. The position requires strong customer service skills, proficiency in medical billing, and bilingual capabilities in English and Spanish.