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Provider Relations Specialist (Remote Option within SHP Service Area)
PayCompetitive
LocationMarshfield/Wisconsin
Employment typeFull-Time
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Job Description
- Req#: R-0041019
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on provider relations and patient care
- Work remotely within the designated service area
- Comprehensive benefits package aimed at promoting employee well-being
What to Expect (Job Responsibilities):
- Serve as the primary liaison between the employer and affiliated healthcare providers for escalated and contractual issues
- Develop and execute issue escalation strategies and educational programs for providers
- Conduct onsite visits and manage relationship-building initiatives with hospital, professional, and ancillary providers
- Collaborate with the Contracting Manager and other colleagues to ensure superior service delivery
- Maintain strong provider relationships through effective communication and problem-solving
What is Required (Qualifications):
- Minimum education: Associate degree or 60+ credits in healthcare, business, marketing, education, or related field
- Minimum of three years' experience in a medical group practice or health insurance/HMO environment
- Proficiency in healthcare claims and insurance reimbursement methods, with a solid understanding of contract terminology
- Strong written and verbal communication skills
- Demonstrated ability to utilize critical thinking and propose solutions to identified issues
How to Stand Out (Preferred Qualifications):
- Bachelor's degree in business administration, accounting, healthcare, finance, or related field
- Experience in provider relations with strong communication skills
- Background in credentialing or claims processing
- Proven interpersonal and relationship-building skills
#HealthcareServices #ProviderRelations #RemoteWork #CareerOpportunity #DiversityAndInclusion
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