PROVIDER RELATIONS REPRESENTATIVE

4 weeks ago


Albany GA USA, United States Phoebe Physicians Full time
Description

JOB SUMMARY
  • Serves as a liaison between PHP providers and the organization to meet provider network services needs or to enhance provider relations. Experience with managed care procedures including PPO network operations, coding and compliance, provider billing/registration/authorization procedures, reimbursement methodologies, claims processing, and revenue management required.

Qualifications

EDUCATION REQUIREMENTS
  • 2 year / Associate Degree in Healthcare/Marketing/Business (Required)
  • 4 year / Bachelor's Degree in Healthcare/Marketing/Business (Preferred) ;In lieu of a Bachelor's Degree; an Associate Degree and a Minimum of 4 years additional relevant experience is acceptable.
EXPERIENCE REQUIREMENTS
  • 2 - 3 years Experience with managed care procedures including PPO network operations, coding and compliance, provider billing/registration/authorization procedures, reimbursement methodologies, claims processing, and revenue management (Required)
CERTIFICATIONS AND LICENSURES
  • No Certifications are Required or Preferred


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