Provider Relations Rep I/II - Range Health

About the role

The Provider Relations Representative plays a crucial role in establishing and maintaining relationships with healthcare providers, ensuring smooth operations and effective communication.

Responsibilities

• Maintain open communication regarding provider policies and payment procedures
• Train and educate providers on contact requirements and operational procedures
• Coordinate the resolution of provider contracts, agreements, fee schedules, and payment problems
• Collaborate with key stakeholders to identify and resolve issues
• Coordinate resolution of contract or agreement issues
• Communicate critical issues and provide recommendations to leaders
• Educate providers on policies, procedures, practices, and data integrity
• Collaborate with cross-departmental teams to support and adhere to provider contract requirements
• Perform research to respond to inquiries and interpret policy and procedures
• Coordinate onboarding activities for newly contracted providers
• Promote provider participation and utilize on-line tools, resources, and self-service programs
• Perform other duties as assigned

Requirements

• Provider service or health industry experience
• High School diploma or equivalent

Qualifications

• Experience: 4 years for Level I, 8 years for Level II
• Education: High School diploma or equivalent

Skills

• Excellent communication and interpersonal skills
• Strong organizational and problem-solving abilities
• Ability to work independently and manage multiple tasks
• Proficiency in Microsoft Office Suite

Benefits

• Paid time off
• Paid holidays
• Community service and self-care days
• Medical/dental/vision/pharmacy insurance
• 401(k) matching and non-contributory plan
• Life insurance
• Short and long term disability
• Education reimbursement
• Employee Assistance Plan (EAP)
• Adoption assistance program
• Paid family leave program

Pay

A good faith estimate of the current pay range is $26.12 to $36.58 for a Level I and $66,353 - $92,894 for a Level II. The position is eligible for an annual incentive bonus (variable depending on company and employee performance).

Schedule

Not specified

Benefits

• Paid time off
• Paid holidays
• Community service and self-care days
• Medical/dental/vision/pharmacy insurance
• 401(k) matching and non-contributory plan
• Life insurance
• Short and long term disability
• Education reimbursement
• Employee Assistance Plan (EAP)
• Adoption assistance program
• Paid family leave program