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Provider Relations Specialist

1 month ago


Spring Valley, United States Hamaspik Choice Full time

**Job Overview**:
Provider Relations Specialist performs full range of activities related to Provider Relations Department, including assisting with contracting, credentialing and provider service.

**Job Location**:
New York, NY

**Essential Responsibilities**:

- Assist with the credentialing and/or re-credentialing process for a variety of providers including practitioners and organizational providers by running reports, contacting providers, and reviewing documents for accuracy and completeness.
- Utilizing established templates, draft contracts for new providers and amendments for existing providers.
- Participate in Provider Relations projects and assigned tasks as necessary.

**Specific Knowledge, Skills, and Abilities**:

- Strong organizational skills.
- Detail oriented with ability to “shift gears” and prioritize multiple demands.
- Ability to interact effectively with a variety of people (such as physicians, medical office staff, administrative staff of nursing homes and home care agencies, etc.) as well as colleagues.
- Good written and verbal communication skills
- Ability to work independently but recognize when to escalate or seek help.

**Required Education, Experience, and Licenses**:

- Minimum 2 years of provider relations or credentialing experience preferred
- Knowledge of Medicare and Medicaid is preferred
- Proficiency in Microsoft Office (Word, Excel and Outlook) a must.
- Knowledge of QNXT a plus

**Benefits**:

- Medical, Dental and Vision Insurance
- 100% Employer contributed Life and LTD Insurance
- 401k Retirement Benefit
- EB HRA with 100% Employer Contribution
- Paid Time Off - includes sick, vacation and holiday
- Paid Birthday off

Pay: $20.00 - $23.00 per hour

Expected hours: 40 per week

**Benefits**:

- 401(k)
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Schedule:

- Monday to Friday

**Education**:

- High school or equivalent (preferred)

**Experience**:

- Provider Relations: 1 year (preferred)

Ability to Relocate:

- Spring Valley, NY 10977: Relocate before starting work (required)

Work Location: In person


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