Provider Relations Representative supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. Typically requires a bachelor's degree. Being a Provider Relations Representative typically reports to a supervisor or manager. The Provider Relations Representative works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Provider Relations Representative typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)
Are you looking for a career to be a part of a great culture of support and growth? Then welcome you made it to the job posting for you!
At Nevada Health Centers, we look for people who will embrace our vision of excellent service. Who have the desire to serve and make a difference in our communities. We value as an organization diversity and inclusion. If you can see yourself here and can deliver a positive impact, then check out some of the details below!
The Provider Relations Manager maintains the provider network with all NVHC payers and oversees contract coordination, credentialing, privileging, and provider enrollments for the medical, behavioral health, residents, pharmacy, dental providers, and all clinical staff. This position will work closely with all providers and clinical staff to obtain all information necessary to complete credentialing and privileging requirements; coordinates hospital applications and re-appointments for providers as needed; maintains current credentials for all active providers; complies with all HIPAA and HRSA rules and regulations. Furthermore, the Provider Relations Manager oversees the coordination, compilation, and preparation of reports pertaining to existing practitioners as requested; prepares all correspondence associated with the credentialing and reappointment process; provides verification of employment and malpractice coverage for all medical and dental providers.
Credentialing and Privileging
Provider/Clinical Staff Contracting
Provider Relations
Risk Management
Requirements:
About our company:
Established in 1977, Nevada Health Centers is the largest provider of primary care for the uninsured, underinsured, and geographically isolated, with 18 health centers; three mobile health programs; and seven Women, Infants, and Children offices. Our mission: To provide access to quality healthcare services throughout Nevada. Our vision: To create an integrated, provider-led healthcare system that supports the delivery of safe, effective, quality-based primary care to all Nevadans.
Nevada Health Centers will provide equal opportunity employment to all employees and applicants for employment. No person shall be discriminated against in employment because of race, color, gender, age, national origin, ancestry, religion, physical or intellectual disability marital status, parental status, sexual orientation or any other category protected by law.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is occasionally required to stand; walk; stoop, kneel, or crouch. The employee must regularly lift and/or move up to 20 pounds.
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0 Provider Relations Representative jobs found in Carson City, NV area