Provider Experience Center Representative

Banner Health

. Answer inbound calls from providers and their staff .

Posted 10/22/2026part-timeRemote • Arizona • United StatesMid-LevelSenior💰 $20 - $31 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare services with a focus on claims adjudication, contract interpretation, and provider communication. Proficient in managing high-volume inbound and outbound calls while maintaining compliance and quality standards.

Highest-signal resume keywords

Claims AdjudicationContract InterpretationHealthcare Services ExperienceExcellent Verbal And Written Communication SkillsMultitasking In A High-Volume Environment

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ProcessingBilling And CodingMedical TerminologyData EntryDatabase ManagementProvider Information SystemsUtilization ManagementEligibility VerificationContract ResolutionQuality Assurance

Soft Skills

Excellent Organizational SkillsCustomer ServiceProblem-SolvingTime ManagementInterpersonal Communication

Tools & Technologies

Word Processing SoftwareSpreadsheetsFax MachinesComputer-Related Skills

Industry Keywords

HealthcareManaged CareProvider AppealsOperational KnowledgeHigh-Volume Service Center

About the role

Key responsibilities & impact

Answer inbound calls from providers and their staff
Research, document, and respond to provider inquiries and escalated calls
Handle high-volume inbound and outbound health insurance provider-related calls
Provide accurate information regarding claims, benefits, member out-of-pocket expenses, and payments by telephone or in writing
Verify and adjudicate claim payments according to plan guidelines
Analyze issues and conduct appropriate follow-up with physicians, facility staff, professional staff, and physician office staff
Identify and resolve managed care issues involving claims, contract interpretation, utilization management, eligibility, and general operations
Interpret contract language and resolve contract issues
Assist internal departments with provider appeals
Educate physicians, office staff, hospitals, and insurance plan administration staff
Work on assigned special projects
Meet department quality, quantity, timeliness, and compliance standards
Determine work priorities and complete tasks with minimal supervision

Requirements

What you’ll need

High school diploma/GED or equivalent working knowledge
Three to four years of substantial previous related work experience in healthcare services, with experience in a high-volume service center or managed care environment
Ability to multitask between inbound calls, database or resource-tool searches, and professional customer service
Excellent verbal and written communication skills
Ability to meet deadlines in a multifunctional task environment
Excellent organizational skills
Operational knowledge of word processing, spreadsheets, data entry, fax machines, and other computer-related skills
Ability to acquire and use the company’s provider information systems
Fundamental knowledge of organizational expectations
Ability to establish daily work priorities and work efficiently
Preferred: associate’s degree or equivalent business/healthcare knowledge
Preferred: one to two years of experience in medical claims adjudication, contract interpretation, billing and coding, and medical terminology
Additional related education and/or experience preferred
Must reside in the state of Arizona

Benefits

Comp & perks

Remote work arrangement
Please note Banner Staffing Services roles do not offer medical benefits or paid time off accrual
Assignment-based role with no guarantee of hours