Healthcare Representative with Strong Community Ties
3 weeks ago
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.
- Bachelor's degree or relevant experience in the healthcare industry.
- Exposure to procedure interpretation and provider networking.
- Knowledge of Medicaid managed long-term care policies and Medicare dual special needs plan policies.
- Strong analytical and problem-solving abilities.
- Strong communication and negotiation skills.
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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