Healthcare Representative with Strong Community Ties

3 weeks ago


Tonawanda, New York, United States Nascentia Health Full time
About the Role

We are seeking a skilled Provider Relations Representative to join our team at Nascentia Health. As a key member of our organization, you will play a vital role in maintaining working relationships with vendors and community contacts.

Job Responsibilities
  • Maintain accurate and current provider databases relating to provider facilities and credentialing information.
  • Perform audits of electronic provider files, credentialing, contracting materials, and claims submissions to ensure all contracted providers follow policies and procedures.
  • Assist in day-to-day operations of the Provider Relations department.
  • Research, contact, and secure agreements with vendors who provide covered services in compliance with plan requirements.
Requirements
  1. Bachelor's degree or relevant experience in the healthcare industry.
  2. Exposure to procedure interpretation and provider networking.
  3. Knowledge of Medicaid managed long-term care policies and Medicare dual special needs plan policies.
  4. Strong analytical and problem-solving abilities.
  5. Strong communication and negotiation skills.
About Us

Nascentia Health is leading the way in home care, post-acute care, and long-term community health. We are an innovator in the concept of healthcare, truly focused on the patient as a whole.

Benefits
  • A competitive salary range of $58,500-$67,718 annually.
  • Retention bonuses.
  • Internal mentoring program.
  • 401K with generous employer match.
  • On-site gym (free for all employees).
  • Medical, dental, vision plans.
  • Tuition reimbursement.
  • Partially funded HSA.
  • Employee recognition platform.
  • Paid time off, holidays, sick leave, and extended sick leave.
  • Short-term and long-term disability.
  • Employee assistance program (EAP).


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