Provider Partners Health Plan
Provider Relations Coordinator
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Job Description
- Req#: 544
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on provider relationships and network efficiency
- Involvement in key operational processes and compliance maintenance
- Opportunity to work in a dynamic healthcare environment
What to Expect (Job Responsibilities):
- Serve as a liaison between healthcare providers and the organization, assisting with onboarding and contract administration
- Resolve provider inquiries related to claims, reimbursements, and network policies
- Input provider data into Salesforce and maintain accurate provider information
- Assist with member claims issues and respond to member inquiries
- Support plan growth and contracting efforts with new providers
What is Required (Qualifications):
- High School Diploma or GED required; Bachelor’s Degree preferred
- Experience working in a healthcare environment, preferably an HMO/PPO
- Knowledge of Medicare and Medicaid programs
- Solid understanding of the managed care industry
- Proficiency in MS Office Suite
How to Stand Out (Preferred Qualifications):
- Customer service leadership experience
- Familiarity with Salesforce and claims utilization reporting
- Experience in provider education and re-education
#HealthcareServices #ProviderRelations #CareerOpportunity #CustomerService #HealthcareCompliance
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