- Independent Health (Buffalo, NY)
- …first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Provider Relations Representative is responsible for assisting our ... provider constituents and providing exceptional customer service. The Provider Relations Representative will answer incoming calls from health care providers… more
- Humana (Indianapolis, IN)
- …us put health first** Humana Healthy Horizons in Indiana is seeking a LTSS Provider Education & Outreach Representative ( Provider Engagement Professional 2) ... to provider inquiries, and resolving issues or complaints. The Provider Education & Outreach Representative will specialize in supporting Long-Term… more
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Provider Services Representative shall assume full responsibility and ownership for all aspects ... while advising the customer of their rights and responsibilities. Additionally, the representative will assist with provider web inquiries, contract, pricing and… more
- CDS Life Transitions (Webster, NY)
- Summary The Provider Relations Representative serves as the primary contact between providers and the organization. The position is responsible for servicing ... a defined geographic market or by service type to educate & provide assistance whenever necessary including but not limited to Claim/Billing assistance,… more
- Molina Healthcare (Gulfport, MS)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- Molina Healthcare (Manhattan, NY)
- …area _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... provider training and education, in alignment with Molina Healthcare's...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- Medical Mutual of Ohio (Toledo, OH)
- …perform pre-employment substance abuse and nicotine testing._ **Title:** _PAR - Provider Inquiry Representative I_ **Location:** _OH-Toledo_ **Requisition ID:** ... department's quality indicators. Supports the overall operations within the Provider Relations Department. **ESSENTIAL FUNCTIONS:** _Requires work to be performed… more
- Providence (Torrance, CA)
- **Description** Under the supervision of the Senior Manager Provider Relations, this position is responsible for physician recruitment related activities and ... a close working relationship with assigned physician offices including communicating with provider office regarding member/ provider issues. + Manages monthly … more
- Humana (Columbus, OH)
- …be a top choice in Healthcare, we must utilize resources to ensure that our provider directory is accurate. Come be a part of our Directory Data Governance (DDG) ... Team within Provider Process and Network Operations Organization and make an...and microwave connection can be used only if they provide an optimal connection for associates. The use of… more
- McLaren Health Care (Flint, MI)
- We are looking for a Provider Service Representative to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren ... **Position Summary:** This position will be responsible for daily provider telephone calls which will include problem solving, eligibility, benefit,… more
- Corewell Health (Grand Rapids, MI)
- …knowledge articles, medical policies, team procedures, and escalation support, necessary to provide accurate responses to provider questions and concerns. + ... call center responsible for the proper and courteous handling of provider contacts regarding complex benefits, authorizations, claims resolution, provider … more
- VNS Health (Manhattan, NY)
- OverviewManages all aspects of provider relations within a specified geographic region. Regularly visits and maintains ongoing contact with existing/potential ... for relationship building, recruitment, credentialing, re-credentialing and assisting with provider issues and education. Works under general supervision. Compensation… more
- Molina Healthcare (Milwaukee, WI)
- …in Wisconsin _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... provider training and education, in alignment with Molina Healthcare's...compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact… more
- Molina Healthcare (Jacksonville, FL)
- …United States _** **JOB DESCRIPTION** **Job Summary** Molina Health Plan Dental Provider Network Management and Operations jobs are responsible for dental network ... development, network adequacy and provider training and education, in alignment with Molina Healthcare's...with all relevant federal, state, and local regulations. Dental Provider Services staff are the primary point of contact… more
- Providence (Torrance, CA)
- **Description** Under the supervision of the Senior Manager Provider Relations, this position is responsible for physician recruitment related activities and ... and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon...upon request. + 3 years of experience in a Provider Relations role working with physicians in a Managed… more
- Conduent (Helena, MT)
- …Customer Service Representatives. This is a great opportunity to learn Medicaid Provider support and the medical eligibility and claims process! **Summary:** + Using ... a computerized system, responds to Montana Medicaid provider inquiries in a call center environment using standard...most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible.… more
- Northwell Health (Westbury, NY)
- …Number** 147657 Job Description Guides the processing of faculty practice provider enrollment in accordance with operational policies and procedures. Initiates and ... processes faculty practice provider enrollments/re-enrollments including, but not limited to correspondence; resolving denials or rejections; ensuring proper… more
- CVS Health (Harrisburg, PA)
- …12 weeks **Permanent Schedule:** M-F 8.10am-4.40pm The role of the Customer Service Representative is to be a customer-focused by putting people first during every ... by effectively using knowledge of plans, products, procedures and systems to provide information and resolve issues, resulting in enhanced customer satisfaction and… more
- Northwell Health (Lake Success, NY)
- …Number** 146923 Job Description Initiates and processes faculty practice provider enrollments/re-enrollments including, but not limited to preparing, sending and ... care enrollment. + Assists the System FPP business office in resolving provider related denials and rejections, and ensures proper payment for services. +… more
- CHS (Clearwater, FL)
- **Overview** ** ** **Call Center Representative | Member and Provider Services Representative ** **Clearwater, FL** ** ** + **VERY competitive ... including telephone service, accuracy, call resolution and satisfaction. TheMember and Provider Service Representative (MPSR) is critical to PAS' success,… more
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