Provider Relations Specialist (On-Site)

The OccuNet Company•Amarillo, TX

2d•Onsite

About The Position

The OccuNet Company is an innovative healthcare cost‑containment organization committed to improving access to affordable, high‑quality healthcare. We pride ourselves on an outward‑mindset culture that values empathy, respect, and seeing one another as whole people. Our team thrives in a fast‑paced, growth‑oriented environment where continuous learning and collaboration drive our success. At OccuNet, you matter like we matter! Our team members share a positive attitude, an outward mindset, problem-solving abilities, and patience, enabling them to provide excellent customer service even during challenging situations. Our culture, plus continuous opportunities for growth, has resulted in an industry-low turnover rate. Don’t miss out on this rare opening with us!

Requirements

Strong understanding of medical cost containment products including but not limited to reference-based pricing, out-of-network, and pharmacy benefits manager solutions.
Knowledge in medical claims including CPT and ICD 10 coding, billing, or general medical insurance preferred.
Excellent communication and interpersonal skills, written and verbal, with the ability to adapt appropriately for different audiences.
Excellent time management and organizational skills.
Able to multi-task effectively, transition between tasks frequently, and maintain focus when presented with interruptions.
Strong computer skills, with a working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook, OneNote) and comfortability learning and navigating new systems.
Investigative mindset, with the ability and drive to conduct independent research as needed.
Adaptable to change.
Team-first mindset with a high level of motivation, drive, and a desire to learn.
Passionate and proactive about contributing to organizational missions with an emphasis on improving client and medical provider experiences.
Strong attention to detail.
Persistent and motivated to find a solution.
Comfortable working in a fast-paced environment.
Prolonged periods sitting or standing at a desk and working on a computer.

Responsibilities

Evaluate and respond to disputes from medical providers regarding claim processing and/or billing.
Identify the issue at hand and determine the actions required to resolve the matter based on independent research and sound judgment.
Follow up with medical providers as needed to ensure agreed upon actions are carried out (i.e., balance adjustments).
Obtain new or missing documentation from medical providers and/or clients to ensure successful processing of medical bills.
Respond to routine help desk inquiries from medical providers and clients, including status updates and pricing questions.
Collaborate with internal colleagues to ensure consistent messaging and solution delivery for all clients and medical providers.
Diligently adhere to all HIPAA laws, rules, and regulations.
Maintain confidentiality of sensitive information.
Perform other duties as assigned.