Start Date: 5/11
Employment Type: Contract
Job Title: Provider Support Specialist
Pay rate: $22/hr. to 23.15/hr. on W2
Location: Lehi, UT 84043
Schedule: 08:00 AM to 05:00 PM
Work Environment: This is a hybrid role based out of our Lehi office, with an expectation of being onsite at least two weekdays per week.
Duration: Till 10/31/2026, with possible extension
Job Description:
• We are seeking a proactive, detail-oriented Provider Support Specialist Contractor to support the growth of our Provider Services team.
• In this role, you will serve as a key point of contact for healthcare providers and their staff, helping them navigate claims, benefits, and administrative processes efficiently.
• You will play an important role in resolving complex provider inquiries, supporting operational workflows, and contributing to improvements in the overall provider experience through feedback and collaboration.
What You’ll Do
• Serve as a primary liaison between healthcare providers and the internal support team, delivering timely, accurate, and professional assistance via phone and provider portal messaging
• Build and maintain strong relationships with provider offices to support effective communication and long-term collaboration
• Investigate and resolve complex provider inquiries related to:
• Claims submission, status, and adjudication
• Benefit and plan interpretation
• Member cost-sharing and billing questions
• Prior authorizations and coordination of benefits
• Appeals and overpayment recoupment
• Verify and communicate patient eligibility, coverage details, and accumulator balances
• Accurately document all provider interactions within internal systems
• Collaborate cross-functionally with teams such as Claims, Product, and Network to resolve issues effectively
• Identify trends in provider issues and escalate systemic concerns for further investigation and resolution
• Contribute to the improvement of internal tools, workflows, and training documentation
• Educate providers on self-service tools and best practices to enhance efficiency and reduce administrative friction
• Meet or exceed established service level agreements (SLAs) for response and resolution times
What Success Looks Like
• Providers receive clear, accurate, and timely resolutions with minimal follow-up
• Consistent, high-quality documentation with strong attention to detail
• Ability to independently resolve complex or ambiguous provider inquiries
• Proactive identification of recurring issues and contributions to process improvements
• Positive feedback from both providers and internal stakeholders
Basic Qualifications
• 2+ years of experience in healthcare operations, provider support, or medical claims
• Strong understanding of claims adjudication, eligibility verification, and prior authorization processes
• Excellent written and verbal communication skills, with the ability to clearly explain complex information
• Highly organized with strong attention to detail and documentation accuracy
• Ability to manage multiple priorities in a fast-paced, high-volume environment
• Experience working independently in a remote or hybrid setting
• Familiarity with HIPAA regulations and patient confidentiality standards
• Strong problem-solving skills and ability to work through ambiguous situations
ABOUT US:
Russell Tobin is a leading minority-owned professional and technical recruitment and staffing advisory organization. We are comprised of specialized practices focusing on a variety of skill sets and industries. Having a depth and breadth of industry expertise, our subject matter experts are able to provide tailored and swift sourcing solutions to fulfill client hiring needs. In other words, we connect top talent with companies.
As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.
Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.