Provider Relations Rep I/II - Range Health
About The Position
Range Health is a healthcare organization focused on expanding access to high-quality, affordable health coverage and care in underserved markets. As part of a long-term growth strategy, Range Health is helping bring Medicare products and services to communities in Idaho and Montana, with opportunities for future expansion into additional markets and offerings. We are seeking a Provider Relations Representative to act as a primary liaison between the organization and healthcare providers. In this independent role, you will maintain open communication regarding provider policies and payment procedures while training and education providers on our contact requirements and operational procedures. This position will be located in Montana.
Requirements
- Provider Relations Rep I: 4 years' provider service or health industry experience
- Provider Relations Rep II: 8 years' provider service or health industry experience
- High School or equivalent education
Responsibilities
- Establish and maintain provider relationships for a new provider network in a new territory.
- Represent the company at association events and provide training education through provider meetings, presentations, webinars, virtual meetings and on-site visits.
- Coordinate the resolution of provider contracts, agreements, fee schedules, and payment problems.
- Collaborate with key stakeholders to identify and resolve issues.
- Coordinate resolution of contract or agreement issues.
- Communicate critical issues and provide recommendations to leaders.
- Educate providers on policies, procedures, practices, and data integrity.
- Coordinate cross departmental activities and projects to support and adhere to the provider contract requirements.
- Perform research to respond to inquiries and interpret policy and procedures to determine the most effective response.
- Provide welcome information to newly contracted providers and assist with on-boarding activities.
- Promote provider participation and utilization of on-line tools, provider resources and self – service programs.
- Perform other duties and responsibilities as assigned.
Benefits
- paid time off
- paid holidays
- community service and self-care days
- medical/dental/vision/pharmacy insurance
- 401(k) matching and non-contributory plan
- life insurance
- short and long term disability
- education reimbursement
- employee assistance plan (EAP)
- adoption assistance program
- paid family leave program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
