Provider Support Specialist

Job Overview

The Claims and Provider Support Specialist plays a role in supporting Lantern's mission to deliver exceptional providers, along with the ability to identify, track, and report billing error trends to support continuous process improvement. The role also contributes to provider advocacy outreach and relationship management, conducts trend analysis, and documents root causes of provider support inquiries to drive operational solutions. Additional provider support duties may be assigned as needed.

Key Responsibilities:

Provider Support

• Manage low- and high-complexity claims status inquiries, including appeals and internal requests.
• Investigate and resolve member billing issues, ensuring accuracy and compliance.
• Maintain accurate documentation in CareHub and SharePoint.
• Audit member bill payment requests and ensure proper documentation for supervisor approval.
• Communicate empathetically and professionally with providers and members.
• Track and report trends in billing errors to support process improvement.
• Participate in provider advocacy outreach and relationship management efforts.
• Conduct trend analysis and document root causes of provider support inquiries.
• Other provider support duties as assigned.

Qualifications

• Proven experience in revenue cycle management, billing, and provider support.
• Strong analytical and problem-solving skills with attention to detail.
• Excellent verbal and written communication skills.
• Proficiency in Microsoft Excel and data normalization.
• Experience designing and delivering training programs preferred.
• Knowledge of HIPAA, compliance standards, and RCM performance metrics.
• Ability to multitask and adapt in a fast-paced, high-volume environment.

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Short & Long Term Disability
• Life Insurance
• 401k with company match
• Paid Time Off
• Paid Parental Leave