Provider Relations Representative - Onsite

Posted 2 days ago

providrs careMarienthal (KS)

Patient Representatives Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

SENIORITY

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About the role

Job Description: Provider Service Representative - Entry-Level (High School Graduate) This is an Onsite Position Position Summary: The Provider Relations Specialist serves as a key point of contact between healthcare providers and ProviDRs Care. This role ensures providers receive timely support, information, and assistance with administrative and operational processes. It's ideal for a candidate with strong communication and organizational skills, even without a college degree.

Key Responsibilities: Provider Communication: Respond to phone calls and emails from providers regarding claims, billing, authorizations, and general inquiries. Issue Resolution: Assist in resolving provider concerns by collaborating with internal departments such as Claims, Member Services, and Credentialing. Data Entry & Records Management: Maintain accurate provider records in internal systems, including contact information, contract status, and documentation. Support Provider Onboarding: Help onboard new providers by collecting forms and documents, and guiding them through ProviDRs Care procedures. Training & Materials Distribution: Distribute educational materials and updates about system changes or policy updates to providers. Compliance & Documentation: Ensure all provider interactions and updates are documented accurately for reporting and compliance purposes.

Qualifications: Education: High School Diploma or GED required.

Preferred Experience: 1-2 years of customer service, healthcare administration, medical office, or insurance experience (but not always required).

Skills & Abilities: Excellent communication and listening skills. Detail-oriented with strong organizational abilities. Comfortable using computers and basic office software (Microsoft Word, Excel, Outlook). Ability to learn healthcare terminology and claims systems on the job. Team-oriented, with a willingness to learn and grow in the healthcare industry.

Work Environment: Full-time, standard weekday hours. Office-based Occasional local travel for provider meetings or training sessions may be required.

Job Type: Full-time Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance Shift: Day shift Ability to Commute: Wichita, KS 67202 Ability to Relocate: Wichita, KS 67202: Relocate before starting work Work Location: In personBenefitsHealth Insurance Dental Insurance Vision Insurance Paid Time Off (PTO) Employee Assistance Program (EAP) 401(k) with Employer Contribution Health Savings Account (HSA) Flexible Savings Account (FSA) Referral Program Life Insurance Discounted Gym Membership

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