Pro Staff

Call Center Specialist

Pro Staff
Mar 06, 2018
Mar 22, 2018
Pro Staff
Job Type
Employment Status
Full Time

Do you have call center experience and exceptional customer service skills? Then Pro Staff would like to speak with you about a Provider Contact Center Specialist opportunity at our client company in Alexandria that administers health care plans for 13 rural MN counties.

In this temp-to-hire role, you’ll be the first point of contact for providers who communicate the company about accuracy and timeliness of claims payments, prior authorizations, Appeal procedures, product information, benefit/eligibility verification, and general plan information. You’ll help identify member/provider issues and responds accordingly. 

Main duties include:

  • Answer inbound calls from providers and work to resolve their questions/concerns regarding eligibility, claims, authorizations, and program issues
  • Place outbound calls to providers to provide follow-up on provider-generated issues and education when a claim processing issue is identified
  • Ensure timely and accurate response to calls
  • Remain up-to-date on Minnesota Department of Human Services/Centers for Medicare & Medicaid Services (DHS/CMS) requirements and provider manual changes and provider updates
  • Confirm accuracy of information given to members/providers
  • Initiate contact with the Provider Contact Center Coordinator & Provider Contact Center Manager when an issue can’t be resolved immediately and route the caller to the appropriate staff person for resolution
  • Alert management of repeat phone calls due to issues that have not been resolved within standards
  • Assist in providing excellent customer service by performing ad hoc duties as defined by the Provider Contact Center & Claims Examination Manager
  • Assist with provider web portal registration as assigned
  • Assist with reprocessing and claims adjustments as assigned
 Hours are 8am-5pm, Mon-Fri. Pay starts at $15.50/hr. 


  • Associates degree and/or 2+years of medical claims experience
  • Proficiency with MS Office applications
  • Demonstrated organizational skills and ability to handle multiple tasks
  • Attention to detail
  • Exceptional phone and customer service skills
Interested? Give Pro Staff a call or text us at 320-763-9677 for more details and to schedule an in-office interview. We also offer Walk-In Wednesdays! Stop in any Wednesday between 7am-5pm to complete an application and interview on the spot!

Pro Staff, an Atterro Human Capital Group company, offers short-term to long-term projects, temporary to contract-to-hire, or direct placements. With proven expertise in Administrative, Clerical, Light Industrial and Manufacturing backgrounds, Pro Staff matches the right people with the right career opportunities.

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