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Provider Relations Specialist


Pay$59632.00 - $82521.00 / year
LocationIrvine/California
Employment typeFull-Time

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  • Job Description

      Req#: lAP2cBKdM7ST
      Employer Industry: Agriculture and Insurance Services

      Why consider this job opportunity:
      - Salary up to $82,521
      - Comprehensive benefits package that includes profit-sharing
      - Flexible work arrangements with options for remote, in-office, or hybrid work
      - Opportunities for professional growth and development within the organization
      - Collaborative and inclusive work culture that values employee well-being

      What to Expect (Job Responsibilities):
      - Build and maintain effective relationships with providers, including physicians, dentists, and hospitals
      - Deliver orientations and ongoing education to network providers to ensure compliance with company programs
      - Proactively address and resolve provider issues related to claims, contracts, and service needs
      - Document all communications and maintain accurate provider demographic data
      - Assist in negotiating fees and educating providers on fee structures and contract details

      What is Required (Qualifications):
      - Bachelor's degree in Healthcare Administration or related field preferred
      - Minimum of 5 years of experience in a Provider Relations position
      - High degree of knowledge in medical terminology, provider billing practices, and claims processing
      - Experience with California and Arizona credentialing application processes and relevant regulatory agencies
      - Proficient in Microsoft Office applications, including Outlook, Word, PowerPoint, and Excel

      How to Stand Out (Preferred Qualifications):
      - Knowledge of Medicare Fee Schedule and various healthcare insurance products
      - Strong project and time management skills with experience in process improvement
      - Ability to communicate effectively with a diverse range of stakeholders

      #Agriculture #HealthcareAdministration #ProviderRelations #RemoteWork #CareerGrowth

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

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