Our Client, a Health Insurance company, is looking for a Provider Relations Representative for their Remote location.This role responsible for developing and maintaining positive constituent relati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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External Relations Officer
Office of The Chief Financial OfficerBaltimore, MD, United States
serp_jobs.job_card.full_time
Government of the District of Columbia.Office of the Chief Financial Officer (OCFO).Washington, DC (Office location).External Relations Officer (Hybrid).
The Office of the Chief Financial Officer (O...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Stretch Provider
Massage EnvyElkridge, MD, United States
serp_jobs.job_card.full_time
NO MBLEX YET NO PROBLEM YOU ARE WELCOME TO BE A STRETCH PROVIDER .Are you ready to use your bodywork skills in a whole new way?.
If you are a Certified Personal Trainer, massage th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Advanced Practice Provider
Chesapeake Urology AssociatesOwings Mills, MD, US
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Advanced Practice Provider Opportunity.Nurse Practitioner orPhysician Assistant.Private Practice, Outpatient / Inpatient.
Experienced NPs / PAs and new grads encouraged to apply.Urology, surgical, or on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Customer Relations Representative - State Farm Agent Team Member
Patrick Starleper - State Farm AgentPerry Hall, MD, US
serp_jobs.job_card.full_time
Are you a vibrant individual who thrives on providing exceptional customer experiences? Do you relish the opportunity to engage with the public and make a positive impact? If your answer is a resou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Health Services - Rep, Provider Relations I Rep, Provider Relations I
MindlanceBaltimore, MD
serp_jobs.job_card.full_time
Job Description : JOB TITLE : PROVIDER NETWORK CONTRACTING REPRESENTATIVE.Performs a variety of administrative functions and coordination in support of the provider contracting process and initiative...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Provider Engagement Representative - Remote
Maryland StaffingBaltimore, MD, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
Provider Engagement Representative.Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care.
We are uniting industry-leading solutio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Employee Relations and Labor Relations
Northrop GrummanLinthicum Heights, MD, US
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RELOCATION ASSISTANCE : No relocation assistance available.At Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact people's lives around the wo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Provider Relations
AmpcusBaltimore, MD, US
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Technology and Business consulting services.We are in search of a highly motivated candidate to join our talented team.Job Title : Provider Relations Location(s) : Baltimore, MD Purpose : Performs a v...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Provider Communications Manager
Commonwealth Care AllianceBaltimore, MD, US
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Provider Communications Manager.The Provider Communications Manager is a key contributor responsible for building and nurturing relationships with our provider partners to support the organization'...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Providers Relations Representative
Zolon Tech Inc.Owings Mills, MD, United States
serp_jobs.job_card.full_time
REMOTE Ocassional visit to the office (monthly once or twice).Supports providers through communication, education, and issue / dispute resolution.
Focus on triaging provider concerns, particularly ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Patient Relations Representative
Gastro HealthTowson, MD
serp_jobs.job_card.full_time
Gastro Health is seeking a Full-Time Patient Relations Representative to join our team!.Gastro Health is a great place to work and advance in your career.
You'll find a collaborative team of coworke...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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VP, Provider Sales
Garner HealthBaltimore, MD, US
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Healthcare quality is declining and soaring costs are crushing American families and businesses.At Garner, we've developed a revolutionary approach to evaluating doctor performance and a unique inc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Provider Relations Representative
Cynet SystemsBaltimore, MD
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Manage Contracting email boxes.Works with the appropriate leader to triage and respond to complex and escalated inquiries from external provider practices or health care entities, as well as intern...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Provider Relations Coordinator
Group 1001Baltimore, MD, US
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Provider Relations Coordinator.Group 1001 is a consumer-centric, technology-driven family of insurance companies on a mission to deliver outstanding value and operational performance by combining f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Health Services - Rep, Provider Relations I Rep, Provider Relations I
StaffingBaltimore, MD, US
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Provider Network Contracting Representative.Performs a variety of administrative functions and coordination in support of the provider contracting process and initiatives.Responsible for responding...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Public Relations
TradeJobsWorkForce21215 Baltimore, MD, US
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Public Relations Job Duties : Responds to requests for information from the media.Establishes ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Child Care Provider
LifeBridge HealthPikesville, MD, United States
serp_jobs.job_card.full_time
Child Care Provider .Department" aria-hidden="true"> .Schedule - Shift - Hours" aria-hidden="true"> .Part-time - Day shift - Hours Vary .
Job Category" aria-hidden="true"> .Setting the Sa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Our Client, a Health Insurance company, is looking for a Provider Relations Representative for their Remote location.
Responsibilities :
This role responsible for developing and maintaining positive constituent relationships with providers, operational departments, health institutions and other entities, handling escalated issue management and dispute resolution activities. Serves a primary liaison to provide communication, education, issue resolution and support to network providers.
% Partners with Provider Training and Education Department to educate providers ensuring they are engaged in the value of our programs in support of positive member interactions. Provide ongoing and targeted basic training and education to our provider community ensuring they can successfully utilize electronic tools, navigate provider portal, follow processes and procedures.
% Involved in supporting one or more health systems, representing multiple practices, enabling the organization to provide Tier One Service.
% Provide research, analytic and resolution support for less complex special projects.
% Provide research, analytic and resolution support on special cases and projects ensuring that all policies and contractual guidelines are clearly identified as required by the case. Provide verbal or written responses to inquiries to management and other internal and external customers. Acts as a resource and provides needed assistance to providers in resolving escalated service-related issues and timely response to provider inquiries via face to face visit, correspondence, e-mail, phone, etc.
% Build and maintain appropriate relationship with providers by ensuring regular communications and timely problem resolution. Leverages provider relationships to drive and influence provider behavior towards favorable outcomes
% Proactively identifies provider needs and responds appropriately through problem solving, engagement of other internal or external resources, and providing high level service
Requirements :
High School Diploma
years experience in the health care industry, including experience working experience with providers, training, claims, customer service and presentations.
Bachelor's Degree in business, healthcare administration or related industry
Previous experience with client BlueCross BlueShield, an insurance plan, a hospital, or a physician hospital organization (PHO).
Working knowledge of provider billing and coding mechanisms., Proficient
Thorough knowledge of managed care industry legislated and regulated requirements, health care financial matters and third-party payment methodologies., Proficient
Understanding of contractual documents and ability to effectively communicate terms to providers., Proficient
Working knowledge of Microsoft Excel, Microsoft Access, Microsoft PowerPoint and Microsoft Word., Proficient
The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs. Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.