
Hybrid Provider Service Representative. -Prior Authorization
AlpinePhysicians · USA, Colorado, Denver, Estados Unidos De América · Hybrid
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Job Description:
Provider Representative (Call Center Representative)
We are looking for a highly organized and compassionate Provider Representative (Call Center Representative) to join our clinical call center team. In this role, you will provide exceptional customer service and administrative support to patients, healthcare professionals, and external stakeholders. Your primary responsibility will be managing incoming calls and facilitating communication between patients and medical staff. The ideal candidate should have strong communication skills, attention to detail, and the ability to handle high call volumes with professionalism and empathy. This position requires commitment to our organization's core values, demonstrating discretion, diplomacy, and professionalism in all patient and staff interactions.
Schedule & Work Environment
Hours: Monday – Friday, 8:30 AM to 5:00 PM (30-minute lunch break)
Remote Work: After 1 week of onsite training in Denver, CO
Responsibilities
Answer incoming calls during scheduled working hours, ensuring timely and professional communication with patients, providers, and external stakeholders
Contact providers directly for critical matters
Support providers in the field with patient care-related tasks
Assist with Chronic Care Management (CCM) and other administrative duties, including:
Processing medication prior authorizations
Managing referrals placed by providers in the field
Scanning and uploading documents to patient charts
Reviewing, scanning, and approving home health and hospice orders
Reviewing and consulting providers on lab/diagnostic results
Processing prescription refills
Handling critical reports and managing fax inboxes
Checking voicemails for non-urgent messages
Completing medical records requests
Managing new admission and discharge summaries (Corhio, EPIC, Kaiser)
PDMP record pulling
Assisting with documentation related to patient care, such as DME requests and long-term care paperwork
Qualifications
Experience with electronic medical records (EMR)
Proficiency in medical terminology
Experience with medication prior authorizations and medication reconciliation (preferred)
Excellent communication skills for patient interactions and documentation
Strong computer and phone skills
Ability to multi-task and work effectively in a fast-paced, high-stress environment
Ability to work flexibly and cross-train within other departments as needed
Reliable high-speed internet connection (WiFi is not sufficient)
Understanding of HIPAA confidentiality standards
Valid Colorado Driver’s License & insurance (as needed for duties)
Education & Experience
High School Diploma or GED (Required)
Medical Certification or Health Technician training (Preferred)
Salary
$21 - $22/hour
If you thrive in a dynamic, fast-paced environment and enjoy working with a team of dedicated professionals, we’d love to have you join us!
Salary Range:
$21-$22 hourly
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!