Provider Claims Service Representative - Philadelphia, PA
MSCCNPhiladelphia, Pennsylvania, United States
Posted February 6, 2026
Full Time
About the Company
MSCCN is a 501(c)(3) nonprofit dedicated to connecting military families—spouses, caregivers of war‑wounded, widows, and National Guard or Reserve members—to meaningful employment opportunities. The organization offers a comprehensive suite of no‑cost services, including one‑on‑one job placement assistance, live on‑demand employment training, resume development, job‑prep lessons, and career coaching. By focusing on the unique challenges faced by military personnel and their families, MSCCN tailors its support to ensure candidates are equipped with the skills and confidence needed to succeed in the civilian workforce. Its distinctive value lies in providing fully funded, personalized career resources that empower military families to achieve long‑term economic stability and professional fulfillment.
Job Description
Respond to provider phone calls or correspondence regarding benefit, eligibility, and other provider issues. Review and adjudicate claims based on provider and healthplan contractual agreements and claims processing guidelines.
Requirements
- 4+ years experience in claims and/or call center
- High School/GED required
- Associate degree preferred
- 45 wpm typing preferred
- Healthcare or Managed Care experience preferred
- Working knowledge of PC apps in a windows based environment
