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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
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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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