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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
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