Provider Relations Representative, Sr. jobs in Illinois
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)
Recently Added Provider Relations Representative, Sr. jobs
- 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. - 2 Months Ago
- NorthShore University HealthSystem
-
Skokie, IL
FULL_TIME
- Sr. Employee Relations Specialist This position handles employee and physician relations support for Endeavor Health. This role serves as an advocate to employees and an internal consultant to leaders...
- 21 Days Ago
- Cars Commerce
-
Chicago, IL
FULL_TIME
- The role: We are looking for a Sr. Industry Relations Manager to join the Cars Commerce Communications department. In this enterprise role, the ideal candidate will develop an industry events and infl...
- 1 Month Ago
- 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...
- 1 Month Ago
- Signode -Customer Service Representative
-
Roselle, IL
FULL_TIME
- Customer Service Representative - Roselle, IL Apply Now Description/Job Summary About Signode:With over $2B in revenue, 80 manufacturing facilities across 6 continents and over 9,000 employees worldwi...
- 3 Days Ago
- TruGreen - Sales Representative - Carpentersville, IL
-
Montgomery, IL
FULL_TIME
- TruGreen is Hiring Territory Sales RepresentativesImmediate Openings in Carpentersville, ILAt TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career...
- 23 Days Ago
Provider Relations Representative, Sr. jobs at Popular Companies
- AU Standard
-
West Jordan, UT
- Our Salt Lake City-based team works closely with nationally recognized charities and NGOs to plan and administer aid wit...
- 4/18/2024 12:00:00 AM
- Elite GI.
-
Dallas, TX
- Are you a dedicated, self-driven individual with a passion for providing outstanding customer support? Do you have a rep...
- 4/18/2024 12:00:00 AM
- Zenith ATX, Inc
-
Austin, TX
- Are you a dedicated, self-driven individual with a passion for providing outstanding customer support? Do you have a rep...
- 4/18/2024 12:00:00 AM
- Sutherland Global
-
- COVID-19 Update: Sutherland is committed to ensuring a safe working environment for our people, their families, and the ...
- 4/18/2024 12:00:00 AM
- 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...
- 4/16/2024 12:00:00 AM
- Christus Health
-
Irving, TX
- Description Summary: Responsible for gift processing and donor relations including: responding to all donor inquiries, r...
- 4/16/2024 12:00:00 AM
- Six Flags Great Adventure
-
Jackson, NJ
- Assist Guests with questions, comments, concerns they may have about their experience while visiting Six Flags. Resolve ...
- 4/13/2024 12:00:00 AM
- AmeriHealth Caritas
-
Hazleton, PA
- Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are pa...
- 4/13/2024 12:00:00 AM