Provider Relations Representative jobs in Evanston, IL

Provider Relations Representative supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. Typically requires a bachelor's degree. Being a Provider Relations Representative typically reports to a supervisor or manager. The Provider Relations Representative works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Provider Relations Representative typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Provider Relations Specialist
  • NorthShore University HealthSystem
  • Warrenville, IL FULL_TIME
  • Position Highlights:

    • Position: Provider Relations Specialist

    • Location: Warrenville, IL

    • Part Time

    • Hours: M-F 8:30am-12:30pm

    Responsible for the timely credentialing and re-credentialing updates of provider members in Behavioral Care Partners in accordance with requirements established by contracted Managed Care Organizations and NCQA. Under direction of Supervisor, is responsible for data entry of roster updates, hospital admissions, Quality Improvement studies, and the triage of member complaints related to Quality/Utilization Management referral issues. Provides network provider education and support with questions.

    What you will need:

    Required Education and/or Experience:

    • High level knowledge of computer skills and financial/statistical disciplines

    • Familiarity with fees schedules such as RBRVS, HCFC, RVU and CPT/HCPC codes

    Preferred Education and/or Experience:

    • Bachelor's degree in business, finance or heathcare

    • Minimum three years previous managed care experience

    Benefits:

    • Career Pathways to Promote Professional Growth and Development

    • Various Medical, Dental, and Vision options

    • Tuition Reimbursement

    • Free Parking at designated locations

    • Wellness Program Savings Plan

    • Health Savings Account Options

    • Retirement Options with Company Match

    • Paid Time Off and Holiday Pay

    • Community Involvement Opportunities


    EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

     

  • 1 Month Ago

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Provider Relations/Sales & Marketing Manager
  • Clinical Professional Connections
  • Chicago, IL FULL_TIME
  • Job Description: Provider Relations/Marketing ManagerWe are seeking a dynamic and motivated individual to join our team as a Provider Relations/Marketing Manager for our independent physician associat...
  • 24 Days Ago

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Sales Representative - No Experience Req'd - Earn $875-$1,200/Week
  • TruGreen - Sales Representative
  • Niles, IL FULL_TIME
  • We are sorry. The job offer you are looking for is no longer available. TruGreen is Hiring Territory Sales Representatives! At TruGreen, we are committed to our customers, our teams, our values, and t...
  • 21 Days Ago

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Sales Representative - No Experience Req'd - Earn $875-$1,200/Week
  • TruGreen - Sales Representative
  • Cicero, IL FULL_TIME
  • We are sorry. The job offer you are looking for is no longer available. TruGreen is Hiring Territory Sales Representatives! At TruGreen, we are committed to our customers, our teams, our values, and t...
  • 1 Month Ago

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Sales Representative - No Experience Req'd - Earn $875-$1,200/Week
  • TruGreen - Sales Representative
  • Carpentersville, IL FULL_TIME
  • TruGreen is Hiring Territory Sales Representatives! At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with TruGreen is a career full of new ...
  • 1 Month Ago

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Sales Representative - No Experience Req'd - Earn $875-$1,200/Week
  • TruGreen - Sales Representative
  • Calumet, IL FULL_TIME
  • TruGreen is Hiring Territory Sales Representatives! At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with TruGreen is a career full of new ...
  • 1 Month Ago

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0 Provider Relations Representative jobs found in Evanston, IL area

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FRFS Senior Industry Relations Representative
  • Federal Reserve System
  • Chicago, IL
  • **Company** Federal Reserve Bank of Chicago Federal Reserve Financial Services (FRFS) delivers a suite of payments servi...
  • 3/28/2024 12:00:00 AM

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Customer Relations Representative - State Farm Agent Team Member
  • Tina Biscan - State Farm Agent
  • Westmont, IL
  • Job Description Job Description Position Overview Are you outgoing and customer-focused? Do you enjoy working with the p...
  • 3/28/2024 12:00:00 AM

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Full-Time & Part-Time Admin and Customer Support
  • goodbookin LLC
  • Evanston, IL
  • Position Summary The A/P Clerk performs a variety of accounting clerical tasks related to the maintenance/processing of ...
  • 3/28/2024 12:00:00 AM

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Customer Relations Representative
  • Hobart Brothers Company
  • Carol Stream, IL
  • **Customer Relations Representative** * 550 Kehoe Blvd, Carol Stream, IL 60188, USA * Full-time * FLSA Status: Non-Exemp...
  • 3/27/2024 12:00:00 AM

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Client Relations Representative (Remote)
  • N&A Enterprises and Solutions
  • Chicago, IL
  • A client relations Represenative is responsible for managing and maintaining relationships with clients, ensuring their ...
  • 3/27/2024 12:00:00 AM

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Client Relations Representative
  • VISTA CHICAGO INC
  • Franklin Park, IL
  • Job Description Job Description What sets Vista Chicago apart from other sales firms is that it focuses the majority of ...
  • 3/26/2024 12:00:00 AM

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Territory Service and Sales Representative
  • EcoLab
  • Evanston, IL
  • Ecolab is hiring and we are excited to turn your next opportunity into a career! Are you someone who uses your hands-on ...
  • 3/26/2024 12:00:00 AM

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Client Relations Representative
  • VISTA CHICAGO INC
  • Oak Brook, IL
  • Job Description Job Description What sets Vista Chicago apart from other sales firms is that it focuses the majority of ...
  • 3/25/2024 12:00:00 AM

Evanston (/ˈɛvənstən/) is a city in Cook County, Illinois, United States, 12 miles (19 km) north of downtown Chicago, bordered by Chicago to the south, Skokie to the west, and Wilmette to the north. It had a population of 74,486 as of 2010[update]. It is one of the North Shore communities that adjoin Lake Michigan and is the home of Northwestern University. The boundaries of the city of Evanston are coterminous with those of the former Evanston Township, which was dissolved in 2014 by voters with its functions being absorbed by the city of Evanston. According to the 2010 census, Evanston has a...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$56,357 to $72,098
Evanston, Illinois area prices
were up 0.8% from a year ago