Instant Teams is hiring a Provider Relations Specialist with strong claims management experience to support our growing network of healthcare providers. In this 100% remote position, you will serve as a vital liaison between providers and internal teams including managing inquiries related to claims, eligibility, benefits, and contract terms. This role demands a strong foundation in claims resolution, provider training, and contract compliance.

The ideal candidate will have 4+ years of experience in provider relations and possess deep knowledge of claims handling and contract compliance. Your efforts will directly impact service delivery for military members and their families while helping maintain a high-functioning provider network.

• Pay: $20/hour | 40 hours per week
• Post-Training Schedule: Shift will fall between 8am - 7pm EST (8 hours per day | 30-minute lunch)
• Training Schedule:
• Training schedule to mimic assigned post-training schedule
• Monday - Friday between the hours of 8am-7pm EST
• Training length = 2 weeks
• Anticipated Start Date: ASAP!
• This is a Temporary Position with an end date of 10/31/2025!
  
  

Day in the life: As a Provider Relations Specialist, you will play a key role in ensuring the efficiency and reliability of our provider network. Your day-to-day responsibilities will include:

• Proven experience in provider network management or a related field (minimum 4 years)
• Knowledge of billing, claims processes, and contract compliance
• Analyzes problems and provides information/solutions
• Operates a PC to obtain and extract information, documents information, activities and changes in the database
• Develops and maintains positive relations and coordinates various functions within the company to ensure requests and questions are handled appropriately and in a timely manner
• Proactively address and resolve any provider or participant issues, maintaining a high level of satisfaction and network reliability
• Provides external and internal customers with requested information
• Proficient in all basic customer service functions
• Proficient in using relevant healthcare management software and tools
• Engage in ongoing recruitment efforts to expand and enhance the provider network, identifying and attracting high-quality providers
• Strong knowledge of billing, claims processes, and contract compliance
• Excellent communication and negotiation skills
• Seeks, understands and responds to the needs and expectations of internal and external customers
• Required to meet departmental goals and expectations
  
  

Must-Haves:

• Minimum 4 years of experience in provider network management, healthcare customer service, or claims processing
• Hands-on experience in healthcare claims management, including adjudication, denial resolution, appeals, and provider inquiries
• Proficient in healthcare management systems and tools (e.g., claims platforms, CRMs, and provider portals)
• Proven problem-solving skills with the ability to think critically and act decisively
• A team-oriented mindset with strong collaboration and communication skills
• The ability to multitask in a fast-paced setting while staying organized and detail-oriented
• A customer-first attitude—you genuinely care about resolving issues and providing top-tier support
• Must be familiar with military organizations, installations, and families
• Ability to work from home with internet access and a quiet and private workspace
• Requires a HS diploma or equivalent and previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background
  
  

Contingent upon successful completion of a background check and drug screening.

What's in it for you:

• Equipment provided
• 100% remote
  
  

Due to specific position requirements, we cannot hire from the following locations for this opportunity:

• California
• Montana
• Rhode Island
• Illinois
• Maryland
• Massachusetts
• Michigan
• Minnesota
• Missouri
• Nebraska
• Vermont
• Washington State
• Outside the Continental US (OCONUS)
  
  

* In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.

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Notes

Other Duties

This is not necessarily a complete list of responsibilities, skills, duties, or requirements associated with the job. While this list is intended to be an accurate reflection of the current job, the Company reserves the right to revise the functions and duties of the job or to require that additional or different tasks be performed when circumstances change, (i.e., emergencies, changes in personnel, workload, rush jobs, or technological developments.)

EEO and Harassment Statement

Instant Teams provides equal employment opportunities (EEO) to all applicants, contractors, and employees without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. This policy applies to all terms and conditions of work, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Instant Teams expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Instant Teams’ contractors and employees to perform their job duties may result in discipline up to and including discharge.

About Us

As a customer experience (CX) marketplace, Instant Teams partners with nation's top brands and companies through a suite of talent solutions that range from building out remote support teams to identifying a direct hire - all by sourcing from their remarkable and diverse talent community. As a mission-centric company, they have a proven track record of generating thousands of remote job opportunities and have significantly improved the financial well-being of military families, generating over $40 million in economic impact.

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