Provider Network Specialist

About the role

This role serves as a key point of contact for providers and provider networks, delivering first-line support and issue resolution for network-related inquiries and initiatives. Responsibilities include responding to phone and email inquiries regarding provider contracting, credentialing, and network participation status while ensuring a high level of customer service and support.

We are seeking an individual who is eager to learn, works well in a team environment, and is committed to providing exceptional service to our provider partners. Training will be provided through a combination of job shadowing opportunities, hands-on learning, and collaboration with our Project Administrator and experienced team members.

We foster a culture where innovation is encouraged, including using AI-enabled tools responsibly to support everyday work—guided by proven workflows, templates, and policies.

Responsibilities

• Answering inbound customer service calls.
• Providing entry-level troubleshooting and redirecting phone calls when appropriate.
• Addressing minor provider issues and resolving minor complaints.
• Ensuring all customer communication is clearly documented.
• Identifying provider issues and determining the appropriate course of action for effective resolution.

Requirements

• High School Diploma or equivalent.
• Proficient in Microsoft Office (Outlook, Word, Excel, and PowerPoint).
• Proficient oral and written communication skills.
• Proficient interpersonal and organizational skills.
• Ability to solve problems via the analysis and interpretation of conducting research.
• Ability to work flexible hours in order to meet the needs of the business.
• Able to handle multiple tasks and maintain expected performance.
• Solid knowledge of the commercial health insurance market.

Facets experience is preferred.