Provider Support Specialist

Title: Provider Support Specialist

Location: Lehi, UT (Onsite/Hybrid)

Employment Type: Contract (6+ months)

Pay Rate: $23/hour

A fast-growing, technology-driven healthcare organization is seeking a Provider Support Specialist to support its provider-facing operations team. This role is ideal for someone with a strong healthcare and claims background who is comfortable handling high-volume inbound calls and thrives in a fast-paced, evolving environment. The ideal candidate is detail-oriented and experienced in navigating complex provider inquiries with professionalism and accuracy.

Key Responsibilities:

• Serve as the primary point of contact for inbound calls from healthcare providers and front desk staff at medical offices
• Respond to and resolve inquiries related to claims status, eligibility, benefits, and billing
• Leverage knowledge of medical terminology, claims processing, and healthcare operations to provide accurate and timely information
• Research and resolve complex issues by navigating multiple internal systems and collaborating with cross-functional teams (claims, operations, client services)
• Interpret plan documents, EOBs, and benefits structures to effectively support provider needs
• Document all interactions and resolutions thoroughly within internal systems
• Maintain composure and professionalism while handling escalated or high-pressure interactions
• Identify trends and escalate recurring issues or process gaps to leadership
• Ensure compliance with HIPAA and internal data privacy standards

Qualifications:

• 2+ years of experience in healthcare support, provider services, or claims-related roles
• Prior experience in a medical office setting (e.g., front desk, provider office support) or as a claims processor strongly preferred
• Understanding of medical claims, benefits, EOBs, and healthcare administrative processes
• Working knowledge of medical terminology and healthcare operations
• Experience handling high-volume inbound calls in a professional environment
• Experience supporting providers within self-funded plans, TPAs, or health tech environments (preferred)

If interested and to learn more, apply today!

PrideGlobal and it's affiliates offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, pet insurance and employee discounts with preferred vendors.

Equal Employment Opportunity

PrideGlobal and it's affiliates are an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment

PrideGlobal and it's affiliates are a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.

Accommodations

We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Only applicable for San Francisco Candidates : Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.