The Portal Services Representative I will assist members, providers, and clients with web-based solutions, emphasizing education about portals, documentation of calls, and escalation of issues. Responsibilities include generating insights for internal departments and handling administrative tasks.
Important things YOU should know:
- Training & Production Schedule: Monday - Friday, 8:00am - 4:30pm CST
- Please know hours of operation are 8:00am – 6:00pm CST so shift could flex based on business need.
- Fully Remote
- Customer Service in Dental or Health Insurance experience a plus!
What will YOU be doing for us?
Increase member, provider and client use of our web based solutions for claims submission, payments, and authorizations.
What will YOU be working on?
- Provide education to callers on the benefits of utilizing the member and provider insurance portals.
- Service dental, medical, vision and physical therapy members and providers using the member and provider portals offered by SKYGEN USA.
- Provide feedback to multiple internal departments regarding issues found on the member and provider portals.
- Ensure all calls are answered according to company and client guidelines.
- Accurately document call information and resolution in internal systems while engaging with members and providers.
- Properly identify potential issues that are not easily resolved and escalate appropriately to Manager.
- Perform outbound calling projects as directed.
Additional Responsibilities:
- Utilize multiple modules in the Enterprise System to research portal questions.
- Work with internal departments to produce, maintain, and deliver portal training references and materials.
- Work with call center to resolve outstanding follow ups generated from incoming calls.
- Using automated systems, maintain updated data on portals by verifying accuracy and handling any exceptions or issues.
- Act as a liaison between portal users and clients to resolve escalated issues.
- Provide recommendations on system enhancements and process improvements to management.
- Assist department with administrative tasks and additional duties as needed.
What qualifications do YOU need to have to be GOOD candidate?
- Required Level of Education, Licenses, and/or Certificates
- High school diploma/GED required
- Required Level of Experience
- 1 year of customer service experience (Call Center, Provider Relations).
- Required Knowledge, Skills, and Abilities
- Intermediate knowledge of Microsoft programs (Word, Excel, and email)
- Excellent attention to detail
- Excellent oral and written communication skills
- Ability to successfully meet timelines for project plans
- Strong navigation skills and the ability to multi-task
What qualifications do YOU need to have to be a GREAT candidate?
- Preferred Level of Education, License, and/or Certificates
- Associates degree/2 year degree in related field
- Preferred Level of Experience
- 1-3 years of customer service experience (Call Center, Provider Relations).
- Preferred Knowledge, Skills, and Abilities
- Knowledge of contract terminology
- Understanding of reimbursement methods
- Knowledge of dental, medical, physical therapy and vision products and terminology
Similar Jobs
eCommerce • Legal Tech • Professional Services • Software • Data Privacy
Design, build, and maintain a new cross-platform Flutter app for iOS and Android. Implement state management (Riverpod/BLoC/Provider), integrate RESTful APIs, optimize performance and security, manage app lifecycle and store deployments, work in an agile CI environment, and collaborate across the product team.
Top Skills:
AndroidApp StoreBlocContinuous IntegrationDartFlutterFlutter SdkGitGoogle PlayiOSProviderRestful ApisRiverpod
Big Data • Information Technology • Software • Analytics • Energy
Lead power market analysis and forecasting, develop market models, and produce CRR/FTR and broad power market publications. Provide client-facing insights, host webinars, and generate trade/congestion risk recommendations. Mentor junior staff, collaborate cross-functionally, and represent the company as an industry thought leader.
Top Skills:
CrrDayzerEnverusErcotFtrMisoPlexosPowerworldUplan
Fintech • Information Technology • Insurance • Financial Services • Big Data Analytics
Support credentialing, licensing, and regulatory workflows for licensed employees. Coordinate with Compliance, FINRA, screening teams, and vendors; provide training, reporting, backup coverage across CLEAR processes; contribute to process improvements and small projects to improve efficiency and compliance.
Top Skills:
Finra SystemsExcelMicrosoft OutlookMicrosoft WordNiprPre-Employment Screening Systems
What you need to know about the Los Angeles Tech Scene
Los Angeles is a global leader in entertainment, so it’s no surprise that many of the biggest players in streaming, digital media and game development call the city home. But the city boasts plenty of non-entertainment innovation as well, with tech companies spanning verticals like AI, fintech, e-commerce and biotech. With major universities like Caltech, UCLA, USC and the nearby UC Irvine, the city has a steady supply of top-flight tech and engineering talent — not counting the graduates flocking to Los Angeles from across the world to enjoy its beaches, culture and year-round temperate climate.
Key Facts About Los Angeles Tech
- Number of Tech Workers: 375,800; 5.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Snap, Netflix, SpaceX, Disney, Google
- Key Industries: Artificial intelligence, adtech, media, software, game development
- Funding Landscape: $11.6 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Strong Ventures, Fifth Wall, Upfront Ventures, Mucker Capital, Kittyhawk Ventures
- Research Centers and Universities: California Institute of Technology, UCLA, University of Southern California, UC Irvine, Pepperdine, California Institute for Immunology and Immunotherapy, Center for Quantum Science and Engineering
