Provider Relations Manager, Healthcare

EXL Talent Acquisition Team

92d

About The Position

The Provider Relations Manager will be responsible for managing provider relations and service interactions within their assigned team. Acting as a key liaison, this individual will support external providers with audit inquiries, claims reimbursement progress, and training on portal navigation and service enhancements. The role also involves guiding providers on claim audit record submissions, timelines, and process adherence. The ideal candidate will be adept at identifying operational gaps, resolving complex claims issues, and effectively communicating solutions. This role is critical in fostering and maintaining strong relationships between EXL and our valued providers while ensuring exceptional service and satisfaction.

Requirements

• Proven experience in provider relations or a similar role.
• Strong problem-solving skills to address complex claims issues.
• Excellent communication skills for effective interaction with providers.
• Ability to identify operational gaps and implement solutions.

Responsibilities

• Manage provider relations and service interactions within the assigned team.
• Act as a key liaison to support external providers with audit inquiries.
• Assist providers with claims reimbursement progress.
• Provide training on portal navigation and service enhancements.
• Guide providers on claim audit record submissions, timelines, and process adherence.
• Identify operational gaps and resolve complex claims issues.
• Communicate solutions effectively to providers.

What This Job Offers

• Number of Employees: 5,001-10,000 employees