Provider Relations Representative jobs in Columbia, MO

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)

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Provider Relations Representative
  • BJC
  • Saint Louis, MO FULL_TIME
  • Additional Information About the Role

    Do you have experience with dealing with escalated insurance issues? BJC is looking for a Provider Relations Representative!

     

    Remote Position (MO and IL only)

    Monday - Friday 

    Flex Schedule


    Overview

    BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.

     

    BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.

     

    BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.

     

    The BJC Managed Care department includes multiple functions such as managed care contracting, financial analysis, systems and operations, value-based care and payment programs, payor and provider relations, and direct to employer solutions.


    Preferred Qualifications

    Role Purpose

    Understands provider relationships and assists in activities that ensure the success of BJC providers in contract participation.

     

    Responsibilities

  • Provides operational support to the department leadership.
  • Assists with financial research and analysis for BJC providers and care plans.
  • Coordinates and recommends communication between participating parties in regard to contracts and financial issues.
  • Coordinates internal and external education, meetings and seminars.
  • Conducts audits of provider compliance with contractual obligations.
  • Minimum Requirements

    Education

  • High School Diploma or GED
  • Experience

  • 2-5 years
  • Supervisor Experience

  • No Experience
  • Preferred Requirements

    Education

  • Associate's Degree
  • - Business

    Experience

  • 5-10 years

  • Benefits and Legal Statement

    BJC Total Rewards

    At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

    • Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
    • Disability insurance* paid for by BJC
    • Pension Plan*/403(b) Plan funded by BJC
    • 401(k) plan with BJC match
    • Tuition Assistance available on first day
    • BJC Institute for Learning and Development
    • Health Care and Dependent Care Flexible Spending Accounts
    • Paid Time Off benefit combines vacation, sick days, holidays and personal time
    • Adoption assistance

    To learn more, go to www.bjctotalrewards.com/Benefits

    *Not all benefits apply to all jobs

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

  • 7 Days Ago

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Client Relations Representative
  • Green Angel Cleaning Services
  • St. Louis, MO FULL_TIME
  • Family owned business with a positive environment located in Shrewsbury, MO. Are you an excellent problem solver with an eye for detail and organization? Do you understand how to "WOW" a client and th...
  • 1 Day Ago

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Client Relations Representative
  • KNOWiNK
  • St. Louis, MO CONTRACTOR
  • About the Organization:Founded and operated by former election officials, KNOWiNK provides a proven solution rooted in knowledge gained from our extensive experience as former election officials and f...
  • 2 Days Ago

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Nurse Practitioner - MO
  • Provider Partners Health Plan
  • Poplar Bluff, MO FULL_TIME
  • Nurse Practitioner Job Description POSITION SUMMARY The Institutional Special Needs Plan (ISNP) Nurse Practitioner is responsible for coordinated and comprehensive care of its Provider Partner Health ...
  • 20 Days Ago

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CRNA
  • KPG Provider Services, LLC
  • Bonne Terre, MO FULL_TIME
  • Inpatient Facility: Looking for an experienced CRNA in the Bonne Terre, Missouri area. Below you will find the Position Overview with all the detail regarding the position. Position Overview Job Title...
  • Just Posted

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RN Care Coordinator
  • Provider Partners Health Plan
  • Saint Clair, MO FULL_TIME
  • RN Care Coordinator POSITION SUMMARY * NO CALL* The Nurse Care Coordinator will play a key role in the execution of the Provider Partners Health Plan (PPHP) Model of Care (MOC) through the collaborati...
  • 1 Day Ago

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0 Provider Relations Representative jobs found in Columbia, MO area

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Customer Service Representative
  • Cleek's, Inc.
  • Columbia, MO
  • Cleek's Inc. is a family owned business since 1956 that believes in strong ethics, family values, and giving back to the...
  • 4/26/2024 12:00:00 AM

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Account Representative - State Farm Agent Team Member
  • Walker Kesterson - State Farm Agency Intern
  • Jefferson City, MO
  • Job Description Job Description Benefits: Retirement Plan Bonus based on performance Competitive salary Opportunity for ...
  • 4/26/2024 12:00:00 AM

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Associate Customer Service Representative - 5022057
  • State of Missouri
  • Jefferson City, MO
  • Associate Customer Service Representative Department of Revenue Annual Salary: $33,914.40 Location: Truman Building - 30...
  • 4/26/2024 12:00:00 AM

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PATIENT SERVICE REPRESENTATIVE- CLINIC, DAYS, M-F! (CLICK TO REVIEW LOCATIONS AVAILABLE) *$1,000 Sign-On Bonus*
  • University of Missouri System
  • Columbia, MO
  • " style="font-family: Arial, Helvetica, sans-serif; font-size: 14px;"> Predominantly days (ex: 8AM - 5PM), M-F, 40 hrs/w...
  • 4/25/2024 12:00:00 AM

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Client Access Representatives - (Sedalia, Versailles, California, Carrollton, Marshall)
  • Burrell Behavioral Health
  • California, MO
  • Job Description: CLIENT ACCESS REPRESENTATIVE Central Missouri in areas such as: (SEDALIA, VERSAILLES, CALIFORNIA, CARRO...
  • 4/25/2024 12:00:00 AM

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FT Customer Service Representative - Work From Home>
  • ARIVE
  • Jefferson City, MO
  • [Call Center / Remote] Anywhere in U.S. / Up to $50K per year / Medical, Dental and Vision / 401k match / PTO - As a Cus...
  • 4/25/2024 12:00:00 AM

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Patient Service Representative: Boonville Urgent Care: Part Time
  • University of Missouri System
  • Boonville, MO
  • SHIFT: PART TIIME between 8AM to 7:30PM. Urgent Care is open 7 days a week. DEPARTMENT: Boonville Urgent Care SALARY RAN...
  • 4/23/2024 12:00:00 AM

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Service Representative (Distributor Opportunity)
  • Breg, Inc
  • Columbia, MO
  • ** Service Representative (Distributor Opportunity)** **Job Category****:** Sales **Requisition Number****:** TERRI03632...
  • 4/22/2024 12:00:00 AM

Columbia /kəˈlʌmbiə/ is a city in the U.S. state of Missouri. It is the county seat of Boone County and home to the University of Missouri. Founded in 1821, it is the principal city of the five-county Columbia metropolitan area. It is Missouri's fourth most-populous and fastest growing city, with an estimated 121,717 residents in 2017. As a Midwestern college town, Columbia has a reputation for progressive politics, persuasive journalism, and public art. The tripartite establishment of Stephens College (1833), the University of Missouri (1839), and Columbia College (1851), which surround the c...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$51,953 to $66,466
Columbia, Missouri area prices
were up 0.7% from a year ago