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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

      Why consider this job opportunity:
      - Salary up to $82,521
      - Rich 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
      - Supportive and inclusive work environment that values work-life balance
      - Chance to make a positive impact on the agricultural community and its members

      What to Expect (Job Responsibilities):
      - Build and maintain effective provider relationships with IPA/medical groups, physicians, dentists, and hospitals
      - Manage provider communications, training needs, and compliance with contracts
      - Conduct provider education and onboarding training to ensure understanding of company programs
      - Resolve provider issues related to claims submission, processing, and payment
      - Assist in the maintenance of medical and dental contract fee schedules and credentialing processes

      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 healthcare regulatory agencies
      - Proficiency in Microsoft Office applications including Outlook, Word, PowerPoint, and Excel

      How to Stand Out (Preferred Qualifications):
      - Experience with various healthcare industry regulatory agencies, including CMS and NCQA
      - Strong project and time management skills, with knowledge of process improvement principles
      - Effective problem-solving skills and ability to implement solutions
      - Experience speaking and presenting to external audiences
      - Familiarity with provider types and their impact on claims and reimbursements

      #Agriculture #HealthcareAdministration #ProviderRelations #CareerOpportunity #RemoteWork

      "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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