Provider Services Representative (Hybrid)

Overview VillageCareMAX is looking for a motivated individual for this full-time role as the Provider Services Representative. This role is the primary point of contact between VillageCareMAX and contracted and/or non-contracted providers for MLTC and Medicare lines of business for submitting Organization Determination requests. Responsibilities Support the Utilization Management team and Member Experience team by maintaining incoming service requests to the department. Adhere to call center KPI requirements and Quality Assurance guidelines. Handle incoming requests from providers via ACD calls and faxes for compliance timeframes and perform outbound calls as needed to provide first-call resolution. Initiate Organization Determination requests upon requests from providers. Enter authorizations under the direction of the Interdisciplinary Care Team when needed. Requirements We would like to speak to those who have an Associate degree or Bachelor's degree in a related field along with 2+ years of practical experience in a healthcare setting. Excellent communication, organizational, and problem-solving skills are vital to this position. Must reside within the New York Tri-State Area (NY, NJ, or CT). Location Role location: New York Tri-State Area — NY, NJ, or CT. Must live in NJ/NY/CT. Benefits PTO package 10 paid holidays Personal and sick time Medical/Dental/Vision

HRA/FSA

Education reimbursement Retirement Savings 403(b) Life & Disability Commuter benefits Paid family leave Additional employee discounts Salary: $25.01 - $28.14 per hour #J-18808-Ljbffr VillageCare