Provider Relations Representative jobs in Illinois

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