Provider Experience Representative Banner Plans and ...

Provider Experience Representative Banner Staffing Services (BSS) offers Registry/Per Diem opportunities within Banner Health. Registry/Per Diem positions are utilized as needed within our facilities. These positions are a great way to start your career with Banner Health. As a BSS team member, you are eligible to apply (at any time) as an internal applicant to any regular opportunities within Banner Health. The future is full of possibilities. At Banner Staffing Services, we're excited about what the future holds for health care. Our team has come together with the common goal: Make health care easier, so life can be better. If you're ready to change lives, apply today. Banner Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs while keeping our members in optimal health. BPN is known for its innovative, collaborative, and team-oriented approach to healthcare. We offer diverse career opportunities, from entry-level to leadership positions, and extend our innovation to employment settings by including remote and hybrid opportunities. As a Provider Experience Representative for Banner Plans & Networks, you will take inbound calls answering questions from providers and their staff members. You will call upon your background in medical billing, medical claims, customer service, and managed care to answer complex questions and find solutions regarding coverage, benefits, and other coverage inquiries. You will be working in a fast-paced and multitasking environment while providing excellent customer service and satisfaction with a goal of first call resolution. As a Provider Experience Representative, you will be working in a hybrid/remote setting. Your work shifts will be Monday - Friday within the hours of 8:00a.m - 5:00p.m. Arizona Time Zone. If this role sounds like the one for you, apply today. This position can be remote if you are located in the Phoenix Metro or Tucson area only. As a valued and respected Banner Health team member, you will enjoy: Competitive wages Paid orientation Flexible schedules (select positions) Fewer shifts cancelled Weekly pay 403(b) pre-tax retirement Resources for living (Employee Assistance Program) MyWell-Being (Wellness program) Discount entertainment tickets Restaurant/shopping discounts Registry/Per Diem positions do not have guaranteed hours and no medical benefits package is offered. Completion of post-offer occupational health physical assessment, drug screen, and background check (includes employment, criminal, and education) is required. This position provides expertise through daily customer service to physicians and/or staff of Banner Health Network affiliated and non-affiliated providers. The representatives providing customer service to providers serve as a primary resource in complex and/or sensitive cases and other resources necessary to ensure an excellent quality of service. May be assigned to work in a variety of administrative duties relative to supporting the provider community. Core functions include: Receiving, documenting, researching, and responding to provider inquiries and escalated calls following established policies and procedures and compliance guidelines. Working cohesively with appropriate parties to ensure delivery of outstanding customer service while facilitating timely research and issue resolution. Providing timely and accurate information to providers regarding claims, benefits, member out-of-pocket expenses, and payments. Identifying and resolving managed care issues concerning claims, contract interpretation, utilization management, eligibility, and general operational issues. Assisting internal departments in resolving provider appeals pertaining to the organization's physicians, hospitals, and insurance plan contracts. Working on special projects as assigned. Serving inbound and outbound providers and office staff communications. Minimum qualifications include: High school diploma/GED or equivalent working knowledge. Substantial previous related work experience in healthcare services, with three to four years of experience in a high volume service center or managed care environment. Ability to multitask between inbound calls, searching the database or resource tools for correct and timely information, and maintain a professional demeanor at all times. Excellent communication skills, both verbal and written, while maintaining a positive and helpful attitude with customers. Demonstrated ability to meet deadlines in a multi-functional task environment. Excellent organizational skills and operational knowledge working with work processing, spreadsheets, data entry, fax machines, and other computer-related skills. Ability to acquire and utilize a sound knowledge of the company's provider information systems, as well as, fundamental knowledge of the organization's expectations. Ability to establish daily work priorities and work efficiently to contribute to the successful overall provider experience. Preferred qualifications include: Experience with a strong knowledge of business and/or healthcare as normally obtained through the completion of an associate's degree. Knowledge of medical claims typically acquired over one to two years of work experience in medical claims adjudication, contract interpretations, billing and coding, and medical terminology. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability.

Created: 2026-03-04