Provider Relations Specialist

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Provider Relations Specialist Insurance Administrative Solutions Clearwater, FL About Insurance Administrative Solutions Insurance Administrative Solutions (IAS) is a third-party provider of comprehensive administrative solutions for our clients in the insurance industry. We offer a business process outsourcing solution that helps insurers optimize administrative workload, bolster their industry expertise, leverage emerging technologies, and streamline operations. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results. Here at IAS, we embrace the fact that great things are only accomplished by working as a team. We believe that all of our employees have valuable input no matter the level. Our highly collaborative team environment offers each of our employees a place where they can excel. Job Summary The provider specialist is responsible for maintaining control of the provider database in all aspects. Handles all provider-related claims issues with internal and external customers, processes electronic claims with provider-related problems, contacts providers when necessary and handles other provider information issues. Responsible for obtaining W-9s, as well as recognizing, researching and resolving any discrepancies noted. System generated provider reports are monitored and worked daily. Primary Responsibilities: (Other duties may be assigned as necessary): Maintain provider database; adding new entries, making changes to provider information. Process incoming provider correspondence. Process electronic claims in a special provider mailbox. Research provider checks returned by post office. Utilize Excel spreadsheets for tracking purposes. Handle provider-related problems that are referred to the unit from the claims departments. Make and receive phone calls to and from providers. Send correspondence to providers via mail, email or fax. Review and process reports as assigned. Log, research and update addresses for returned 1099's All duties above need to be performed with accuracy and speed. Actively participate in cross training to maximize team efficiency and maintain or exceed service standards. Primary Skills & Requirements: - High school education - Insurance, PC, Windows, and Word experience is required. - Excel experience is advantageous.

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