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Provider Relations Specialist (Remote Option within SHP Service Area)
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Job Description
- Req#: R-0049529
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely within the designated service area
- Supportive and collaborative work environment
- Chance to make a positive impact on provider relationships and healthcare delivery
- Comprehensive training and development programs available
What to Expect (Job Responsibilities):
- Serve as the primary liaison between the employer and affiliated healthcare providers for escalated and contractual issues
- Manage relationship activities for various provider types, including hospitals and ancillary providers
- Develop and execute issue escalation strategies and educational programs
- Conduct onsite visits and special initiatives to strengthen provider relationships
- Collaborate with the Contracting Manager and other colleagues to deliver superior service
What is Required (Qualifications):
- Minimum educational requirement: Associate degree or 60+ credits in healthcare, business, marketing, education, or a related field
- Minimum of three years' experience in a medical group practice or health insurance/HMO environment
- Proficiency in healthcare claims and insurance reimbursement methods
- Excellent written and verbal communication skills
- Demonstrated ability to take initiative and utilize critical thinking
How to Stand Out (Preferred Qualifications):
- Bachelor's degree in business administration, accounting, healthcare, finance, or a related field
- Experience in provider relations with strong communication skills
- Strong interpersonal and problem-solving abilities
- Credentialing or claims experience preferred
#HealthcareServices #ProviderRelations #RemoteWork #CareerOpportunity #HealthcareCareersAbout the company
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