Provider Relations Representative, Sr. 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. May provide guidance or expertise to less experienced representatives. Being a Provider Relations Representative, Sr. typically requires a bachelor's degree. Typically reports to a supervisor or manager. The Provider Relations Representative, Sr. gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Relations Representative, Sr. typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Jai Medical Systems Managed Care Organization, Inc. was founded in 1997 and serves a diverse population of children and adults throughout the State of Maryland.
Since our founding, Jai Medical Systems' mission has been to provide high quality healthcare benefits and services to the people of Maryland. We continue this tradition of quality and excellence by working with our members to help identify their healthcare needs, while remaining an active and positive presence within our communities.
Throughout our history of service, Jai Medical Systems has been consistently ranked by the State of Maryland as one of the highest rated Managed Care Organizations for quality. Jai Medical Systems' commitment to our members and high quality healthcare is demonstrated by our performance in health insurance quality measures, such as HEDIS ®. In fact, our HEDIS® scores for key healthcare quality indicators such as Well Child Checks, Breast Cancer Screenings, and Diabetes Care are among some of the highest HEDIS® scores in the nation.
Provider Relations Representative Job Summary:
We are currently seeking a hard-working, enthusiastic, and dedicated employee to join our Provider Relations team. Responsibilities include claims and appeals review, credentialing, contracting, and public relations.
Provider Relations Representative Requirements:
Job Type: Full-time
Benefits:
Schedule:
Application Question(s):
Education:
Work Location: In person
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