Provider Service Representative
| Company | Alpine Physician Partners |
|---|---|
| Location | Denver, CO, USA |
| Salary | $21 – $22 |
| Type | Full-Time |
| Degrees | |
| Experience Level | Entry Level/New Grad, Junior |
Requirements
- Experience with electronic medical records (EMR)
- Proficiency in medical terminology
- Excellent communication skills for patient interactions and documentation
- Strong computer and phone skills
- Ability to multi-task and work effectively in a fast-paced, high-stress environment
- Ability to work flexibly and cross-train within other departments as needed
- Reliable high-speed internet connection (WiFi is not sufficient)
- Understanding of HIPAA confidentiality standards
- Valid Colorado Driver’s License & insurance (as needed for duties)
Responsibilities
- Answer incoming calls during scheduled working hours, ensuring timely and professional communication with patients, providers, and external stakeholders
- Contact providers directly for critical matters
- Support providers in the field with patient care-related tasks
- Assist with Chronic Care Management (CCM) and other administrative duties, including:
- Processing medication prior authorizations
- Managing referrals placed by providers in the field
- Scanning and uploading documents to patient charts
- Reviewing, scanning, and approving home health and hospice orders
- Reviewing and consulting providers on lab/diagnostic results
- Processing prescription refills
- Handling critical reports and managing fax inboxes
- Checking voicemails for non-urgent messages
- Completing medical records requests
- Managing new admission and discharge summaries (Corhio, EPIC, Kaiser)
- PDMP record pulling
- Assisting with documentation related to patient care, such as DME requests and long-term care paperwork
Preferred Qualifications
- Experience with medication prior authorizations and medication reconciliation (preferred)
- Medical Certification or Health Technician training (Preferred)