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)
Health Network One is the leader in managing specialty healthcare networks. Founded in 1999, we are a rapid growing, private equity-backed company that delivers cost savings to our health plan customers, world-class service to our provider networks, and access to quality healthcare for health plan members.
On behalf of our health plan clients, we manage the entire network value chain, including utilization management, claims, and provider management. Our specialty networks exceed 10,000 providers and include outpatient therapy, dermatology, podiatry and more. Today we operate in four states and are expanding into four more; in total, we cover more than 5,000,000 lives.
Position Summary:
Interacts with and discusses contract and credentialing with physicians, specialist, ancillary providers and hospitals. Performs revenue analyses for the Provider Relation/ Network Department.
Essential Duties and Responsibilities
Required Education and Experience
Job Type: Full-time
Pay: From $18.00 per hour
Benefits:
Weekly day range:
Work setting:
Work Location: In person
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0 Provider Relations Representative, Sr. jobs found in Pompano Beach, FL area