Provider Service Representative I

Healthcare is increasingly unaffordable for many Americans. For those who can afford it, they are in a health insurance system that has become more confusing, restrictive, and lower value with each passing year. Here at WeShare our mission is to bring better healthcare to America at a better price. We offer consumers a member-to-member health sharing program that is much more cost effective than standard health insurance while providing access to over 1.2 million physicians across the country. Come join us on this important journey to create the next generation of healthcare!

WeShare is a rapidly growing faith-based nonprofit that strives to do good while delivering great and affordable healthcare. The company is led by senior executives with an extensive background in both for-profit and not-for-profit enterprises. If you have a bias for action, enjoy challenges, and love creating impact in a massive industry, WeShare might be the place for you!

About This Role

The  Provider Service Representative I  at UHSM is an experienced member of the Provider Services team. This representative is responsible for handling more complex provider inquiries, resolving escalated billing issues, and supporting process improvements across the provider network. This role requires strong analytical skills, deeper knowledge of healthcare customer service workflows, and the ability to work cross-functionally to ensure providers receive accurate, timely, and high-quality support.

Key Responsibilities

Provider Relationship Management

• Manage high volume of inbound/outbound calls, escalated provider inquiries, emails, and chats to assist with healthcare professionals with inquires and requests, ensuring timely and accurate resolution
• Serve as a resource for complex questions related to WeShare policies, benefits, and provider requirements
• Support provider onboarding, contracting,credentialing, and network management activities in collaboration with internal teams
• Build strong relationships with high-volume or high-priority providers to ensure a positive experience and smooth operational workflow
• Identify recurring provider call issues or trends and recommend process improvements to reduce errors to improve provider satisfaction
  
  

Data Entry And Documentation

• Maintain detailed, accurate documentation of provider interactions, case resolutions, and case notes
• Perform quality checks on provider data to ensure accuracy and consistency
  
  

Customer Service And Support

• Provide high-level support to providersregardingbenefits, coverage, claim status, and billing inquires
• Handle sensitive or urgent cases requiring advanced problem-solving and cross-department coordination
  
  

Required Qualifications

• High school diploma or equivalent
• At least 1 year of experience in a customer service or provider service call center role, preferably in healthcare
• Proven ability to manage high call volumes while handling complex or escalated cases
• Strong understanding of medical billing and healthcare terminology
  
  

Preferred Qualifications

• Bachelor's degree
• Strong communication and interpersonal skills, with the ability to effectively interact with healthcare providers and internal teams
• Detail-oriented and highly organized, with a focus on accuracy and efficiency in data entry and documentation
• Customer service mindset, with a commitment to delivering excellent service to providers
• Ability to multitask and prioritize tasks in a fast-paced environment
• Proficiency in Microsoft Office Suite and experience with database systems (experience with healthcare-specific software a plus)
  
  

What we offer

• Competitive Hourly
• Health, Dental, Vision, & 403(b)
• Ability to make important enhancements to the Healthcare industry
• Great culture where you work with the founders and key stakeholders in a relaxed, but innovative atmosphere
  
  

UHSM is an Equal Opportunity Employer. Our business is fast-paced and will continue to evolve. As such, the duties and responsibilities of this role may be changed as directed by the Company at any time to promote and support our business needs. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, protected veteran status, or any other basis protected by applicable law and will not be discriminated against on the basis of disability.