Provider Relations Specialist II

Ameritas•Lincoln, NE

2d•Hybrid

About The Position

The Provider Relations Specialist II serves as a liaison between the company and internal and external partners. This position develops and strengthens customer relationships by providing timely and accurate response to inquiries and conducting analysis to solve problems under limited supervision. This position may provide guidance, coaching, and training to associates. This position will be in-office for the first week for training and will then be remote (within Nebraska) and does not require regular in-office presence.

Requirements

S. Diploma or GED is required.
2-4 years of related experience is required.

Nice To Haves

Associate’s degree or equivalent is preferred.
Previous experience in provider relations or similar role highly preferred.
Insurance industry experience preferred.

Responsibilities

Act as the main point of contact for dental providers regarding participation status, credentialing, and contract-related questions.
Process new provider applications, credentialing requests, and changes to records
Respond to provider and member inquiries via phone, email, and voice mail with professionalism and accuracy.
Manage queue-based tasks including provider adds, terminations, fee schedule updates, and contract maintenance.
Review and submit audits, ensuring documentation meets compliance and credentialing standards.
Support assigned groups, handling all communications and requests.
Collaborate with internal departments and network leasing partners to ensure data consistency and proper contract loading.
Investigate and help resolve complaints from providers and members, coordinating with Compliance when necessary.
Mentor peers and assist with training new hires on systems and procedures.
Attend team meetings and stay current on internal processes, policies, and industry regulations.