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)
At BCMS, the Provider Enrollment Specialist ensures that all providers comply with relevant state and federal regulatory associations. This position is responsible for keeping records related to insurance contracts and medical staff credentials. This includes constant contact with staff, insurance companies, and partnering credentialing teams to ensure they have all the necessary documents and are informed of any changes in contracts and policies.
The Provider Relations/Enrollment Specialist is key to a successful credentialing/enrollment process. Along with other credentialing duties, this position is also directly responsible for preparing and submitting applications and supporting documentation to enroll individual physicians and other healthcare providers with payers. The specialist also processes new applications, revalidations, ERN/ERA applications, and updates rosters.
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Job Type: Full-time
Pay: $22.00 - $25.00 per hour
Expected hours: 40 per week
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Work Location: In person
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0 Provider Relations Representative, Sr. jobs found in Jacksonville, FL area