Provider Relations Representative jobs in Wisconsin

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
  • AssuranceSD
  • Green, WI FULL_TIME
  • AssuranceSD is a mission-driven organization providing administrative services that enable individuals to take ownership over their personal care services, ensuring that they receive quality and comprehensive care with minimal disruption. Our mission is to help strengthen communities by enabling individuals to elect and manage their own care programs, including how, when, where, and who delivers these services. This helps care recipients retain their dignity during what are often challenging times and ensures they receive the most appropriate services for their specific situation. Through facilitating self-directed home and community-based services, AssuranceSD improves the standard of home care available to aging seniors as well as individuals with disabilities.

    General Responsibilities:

    The Provider Relations Specialist Role assists providers for the newly launched Independent Living Supports (ILSP) program with onboarding, enrollment, ad ongoing support throughout the duration of the program (e.g., claims and invoicing) under the Premier Financial Management Services brand in our Wisconsin market  BROWN COUNTY

    AssuranceSD  Full Time Benefit Package Includes:

    • Competitive Pay

    • Health insurance with Company Contributions

    • HSA

    • Holiday Pay

    • Paid time off.

    • Dental insurance

    • Vision insurance

    • 401(k) with Company match

    • Life insurance

    • Long- and Short-Term Disability insurance

    • Parental leave

    • FMLA

    Essential Duties and Responsibilities:

    • Connect with new ILSP providers (non-professional in-home service providers and vendors) and coordinate dedicated support sessions via phone, video, or in-person

    • Educate providers on the ILSP program and their key duties and responsibilities including enrollment and invoicing

    • Assist providers to complete all required paperwork using our digital enrollment platform and claims engine

    • Provide ongoing customer service to providers to answer questions, flag concerns, and enhance their program experience

    • Liaison with program participants and Aging and Disability Resource Center (ADRC) staff to align stakeholders on requirements, statuses, and roadblocks in enrollment and invoice processing

    • Conduct initial review of enrollment and invoice forms for completeness and accuracy and conduct follow-up with providers and participants as necessary to finalize paperwork for submission

    • Track case management of provider enrollment based on service requests and updates from participants

    • Develop regional expertise of provider landscape to support provider identification by service for participants and to liaise with providers on behalf of participants

    • Collaborate with in-office enrollment, customer service, and claims processing teams to finalize processing and resolve customer support tickets in a timely manner

    • Other duties as needed to maintain a high-quality program

    Who You Are:

    • Working knowledge of laws and regulations pertinent to essential job functions

    • Excellent communication skills via telephone, email, and in-person

    • General math, clerical, data entry, and customer service

    • Strong data entry and process skills

    • Excellent interpersonal skills; self-driven, motivated and results oriented

    • Computer skills using Microsoft Windows, Word, and Excel

    • High degree of professionalism and confidentiality regarding all aspects of the position and its responsibilities

    • Ability to juggle and prioritize multiple, often competing, priorities in a fast-paced environment

    • Client-first mentality with the ability to interact with internal and external clients at all levels

    • Familiarity with the Fiscal Agent program processes and procedures

    • Experience in customer service and onboarding; off-site roles are a plus

    • Regular ability to drive to commercial and residential sites for support, as requested

     

     

    Equal Employer Opportunity Statement

    We are an equal opportunity workplace, committed to equal employment opportunity regardless of race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, genetic information, veteran status, gender identity or expression, sexual orientation, or any other characteristic protected by applicable federal, state or local law. We are committed to diversity, equity and inclusion, both in our hiring practices and in our experiences as a AssuranceSD employee. We strive to create a mindful and respectful environment where everyone can bring their authentic self to work, and experience a culture that is free of harassment, racism, and discrimination.

    Disclaimer:

    This job description indicates the general work necessary to adequately execute core job responsibilities. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.


  • 1 Month Ago

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Provider Relations - Provider Quality Specialist II
  • Community Care, Inc.
  • Madison, WI FULL_TIME
  • Provider Quality Specialist II: Sign-On Bonus Available!! This rewarding opportunity is perfect for someone who enjoys team collaboration and being part of a mission driven organization. Community Car...
  • Just Posted

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Sales Representative
  • TruGreen - Sales Representative
  • Appleton, WI 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 o...
  • 2 Days Ago

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Sales Representative
  • TruGreen - Sales Representative - Madison, WI
  • North Freedom, WI FULL_TIME
  • TruGreen is Hiring Territory Sales RepresentativesImmediate Openings in Madison, WI At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with T...
  • 2 Days Ago

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Sales Representative
  • TruGreen - Sales Representative - Madison, WI
  • De Forest, WI FULL_TIME
  • TruGreen is Hiring Territory Sales RepresentativesImmediate Openings in Madison, WI At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with T...
  • 3 Days Ago

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Customer Relations Representative
  • Crystal Finishing Systems
  • Schofield, WI FULL_TIME
  • General Summary: The Customer Relations Representative performs a variety of duties to ensure total customer satisfaction. These include, but are not limited to, order and job entry, order acknowledge...
  • 20 Days Ago

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Guest Relations Representative
  • Six Flags Great Adventure
  • Jackson, NJ
  • Assist Guests with questions, comments, concerns they may have about their experience while visiting Six Flags. Resolve ...
  • 3/29/2024 12:00:00 AM

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Senior Provider Relations Representative
  • University Health System
  • San Antonio, TX
  • Full Time 12238 Silicon Drive Professional Non-Nursing Day Shift POSITION SUMMARY/RESPONSIBILITIES Working with Departme...
  • 3/27/2024 12:00:00 AM

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Guest Relations Representative
  • Great Escape
  • Queensbury, NY
  • What You Will Be Doing Assist Guests with the purchase of in park Admission and Group Sales Tickets as well as On-line T...
  • 3/27/2024 12:00:00 AM

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Donor Relations Representative
  • Christus Health
  • Irving, TX
  • Description Summary: Responsible for gift processing and donor relations including: responding to all donor inquiries, r...
  • 3/27/2024 12:00:00 AM

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Customer Relations Representative
  • Catalyst Career Group
  • Dallas, TX
  • Job Description Job Description Collaborative. Respectful. A place to dream and do. These are just a few words that desc...
  • 3/27/2024 12:00:00 AM

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Provider Relations Representative
  • Molina Healthcare
  • Long Beach, CA
  • Job Description ***Remote and must live in the Riverside or San Bernardino areas*** Job Description Job Summary Molina H...
  • 3/25/2024 12:00:00 AM

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Provider Relations Representative
  • MBI Health Services
  • Los Angeles, CA
  • Job Description Job Description Position Title: Provider Relations Representative Job Type: Full-Time / Hybrid Departmen...
  • 3/25/2024 12:00:00 AM

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Provider Relations Representative (Buffalo/WNY Territory)
  • Univera Healthcare
  • Buffalo, SC
  • Job Description: This position serves as the primary contact between Providers and the organization. The position is res...
  • 3/24/2024 12:00:00 AM

Wisconsin is bordered by the Montreal River; Lake Superior and Michigan to the north; by Lake Michigan to the east; by Illinois to the south; and by Iowa to the southwest and Minnesota to the northwest. A border dispute with Michigan was settled by two cases, both Wisconsin v. Michigan, in 1934 and 1935. The state's boundaries include the Mississippi River and St. Croix River in the west, and the Menominee River in the northeast. With its location between the Great Lakes and the Mississippi River, Wisconsin is home to a wide variety of geographical features. The state is divided into five dist...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$52,642 to $67,346