Provider Customer Service Representative – Health Insurance

Job not on LinkedIn

🔥 10 minutes ago

🇪🇬 Egypt – Remote

💵 $16 / hour

⏰ Full Time

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Sutherland

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1986

🏥 Healthcare

🛡️ Insurance

✈️ Travel

💰 $300M Secondary Market on 2014-10

Healthcare • Insurance • Travel

Sutherland is a global company specializing in digital transformation and business process outsourcing services. They leverage advanced technologies such as Artificial Intelligence, automation, and cloud engineering to drive digital performance and optimize critical business operations. Sutherland offers a variety of services including digital CX, enterprise technology solutions, and intelligent automation across multiple industries such as banking, healthcare, and telecommunications. Their focus is on delivering measurable outcomes, enhancing customer experiences, and enabling business agility through innovative digital solutions.

📋 Description

• Handle claims status inquiries, denial rationales, appeals, medical records, research/routing, and EOB/EOP requests • Handle authorization and utilization management status inquiries, denial rationales, appeals, and prior authorization verification • Verify provider participation, eligibility, coverage, medical benefit grids, and credentialing • Document call details thoroughly and drive resolutions • Explain next steps and educate providers on self-service tools such as Availity • Manage back-to-back calls • Support the expanding needs of a health insurance company customer

🎯 Requirements

• High School Diploma or equivalent • 1–2 years of high-volume call center experience • 35–40 WPM typing speed • Strong written and verbal communication • Active listening, problem-solving, and multitasking skills • Dedicated quiet workspace • Strict schedule adherence • Internet speed of at least 10 Mbps download and 2 Mbps upload • Must be a US resident authorized to work in the US • Role is open to those eligible to work in the USA • Preferred: 1–2 years in a medical office, healthcare insurance, billing/coding, or back-end processing

🏖️ Benefits

• Paid training • Medical, dental, and vision insurance • Flexible vacation after training • Company equipment • Employee assistance program (EAP) and wellness program with a dedicated trainer • Employee discounts • 80% internal promotion rate