10/21/2026
SUMMARY: (This position will be Hybrid (1-4 work from home days) after the training is completed) Provider Relations Specialist I Responsible for servicing internal and external customers who contact AF Group via the ACD phone line. Responsible for providing quality, consistent and accurate medical payment information to internal and external customers. Provider Relations Specialist II Responsible for analyzing billings including outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software and reference library to determine appropriateness of codes and excessive charges. Responsible for making coding determinations according to state rules and regulations. PRIMARY RESPONSIBILITIES: PRIMARY RESPONSIBILITIES: Provider Relations Specialist I • Utilizes ACD phone lines to manage incoming calls and inquiries. • Provides high level of customer service for all internal or external customers thru telephonic, email and fax. • Demonstrates...
AF Group
Lansing, MI
Full Time
