Provider Relations Representative

Monterey Medical•Kettering, OH

1d•Hybrid

About The Position

Monterey Medical teams with general practice, specialists, and allied health practitioners nationwide to provide local coverage for examinees. We deliver a wide range of medical examination-only services to public sectors and the individuals they serve. Our clients include the Department of Veteran Affairs (VA), the Department of Labor, the Department of Defense, and more. Our provider network consists of over 700 providers in various medical specialties and degree types. They conduct diagnostic-only examination services on an as-needed basis. These services may take place in their private office, established clinics located across the country, or during travel opportunities for group screening events.

Requirements

2+ years of experience in provider relations, healthcare administration, or a related role.
Knowledge of credentialing, contracting, compensation, and pension exam processes.
Communication, relationship management, and problem-solving skills.
Ability to work independently and collaboratively in a fast-paced environment.
Proficient in Microsoft Office Suite and experience with CRM or provider management systems.
Detail oriented and organized.
Ability to work on a computer for extended periods.
Willingness to learn company database systems (e.g., GROW).
reading comprehension and writing capabilities, adaptability, analyzing, assessing, calculating, decision-making, good judgment, social skills, ability to follow instructions, and self-management.

Nice To Haves

Bachelor's degree in healthcare administration, business, or a related field.

Responsibilities

Serve as the primary contact for providers, addressing inquiries and concerns in a timely and professional manner.
Build and maintain positive relationships with new and existing healthcare providers.
Educate providers on processes, policies, billing, reimbursement, credentialing, and system navigation.
Investigate and resolve provider issues, coordinating with internal departments as needed.
Conduct regular provider outreach to maintain engagement and satisfaction.
Assist with contract negotiations and rate adjustments.
Stay informed on business guidelines, VA policies, and industry regulations.
Support the onboarding of new providers by ensuring they have the necessary tools and resources.
Track and maintain provider credentials, payment documents, and schedules.
Analyze provider performance metrics and identify areas for improvement.
Maintain accurate records and documentation in CRM or provider management systems.
Coordinate with internal departments to ensure provider needs are met.