Provider Relations Specialist

Job Overview:

Provider Relations Specialist performs full range of activities related to Provider Relations Department, including assisting with contracting, credentialing and provider service.

Job Location:

New York, NY

Essential Responsibilities:

· Assist with the credentialing and/or re-credentialing process for a variety of providers including practitioners and organizational providers by running reports, contacting providers, and reviewing documents for accuracy and completeness.

· Utilizing established templates, draft contracts for new providers and amendments for existing providers.

· Answer provider inquiries through telephonic and email contact. · Establish provider records on company systems, including Salesforce.com and QNXT.

· Participate in Provider Relations projects and assigned tasks as necessary.

Specific Knowledge, Skills, and Abilities:

· Strong organizational skills.

· Detail oriented with ability to “shift gears” and prioritize multiple demands.

· Ability to interact effectively with a variety of people (such as physicians, medical office staff, administrative staff of nursing homes and home care agencies, etc.) as well as colleagues.

· Good written and verbal communication skills

· Ability to work independently but recognize when to escalate or seek help.

Required Education, Experience, and Licenses:

· Minimum 2 years of provider relations or credentialing experience preferred

· Knowledge of Medicare and Medicaid is preferred

· Proficiency in Microsoft Office (Word, Excel and Outlook) a must.

· Knowledge of QNXT a plus!

Benefits:

• Medical, Dental and Vision Insurance
• 100% Employer contributed Life and LTD Insurance
• 401k Retirement Benefit
• EB HRA with 100% Employer Contribution
• Paid Time Off - includes sick, vacation and holiday
• Paid Birthday off

Job Type: Full-time

Pay: $20.00 - $23.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• Provider Relations: 1 year (Preferred)

Ability to Relocate:

• Spring Valley, NY 10977: Relocate before starting work (Required)

Work Location: In person

Salary : $20 - $23