Provider Relations Representative jobs in Richmond, VA

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 REP
  • Sentara
  • Richmond, VA FULL_TIME
  • Sentara Health is currently hiring a Provider Relations Representative

    This position is remote in Richmond, VA or surrounding area.

    Periodic onsite provider visits will be required in the future.

    The Provider Relations Representative will be responsible for developing and maintaining positive relationships with providers. Duties include, but are not limited to; periodic on-site visits, conducting provider seminars, communicating administrative changes, and facilitating resolution of non-routine claim issues and other billing questions. The Provider Relations Representative coordinates and conducts provider training and develops and distributes provider network materials. The Provider Relations Representative will act as a liaison between internal departments of Sentara Health and the provider community.

    Job Requirements

    • High School Grad or Equivalent
    • Healthcare Experience 3 years
    • Health Insurance Plans 3 years
    • Microsoft Word required
    • Microsoft Excel required
    • Microsoft PowerPoint required


    Benefits:  Sentara offers an attractive array of full-time benefits including Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. Sentara recognizes our employees by offering:

    • Comprehensive health care plans
    • Generous paid annual leave
    • 401a/401k/403b plan
    • Long and short-term disability
    • Tuition Reimbursement
    • Flex spending and life insurance
    • You can expect employee recognition, performance rewards, plus countless services and programs to enhance work/life balance.

    Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans, and plans serving Medicare and Medicaid enrollees.

    With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health.

    Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity.   Join a team that has a mission to improve health every day, join the Sentara Team! 

    Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

    keywords: health insurance, network educator, healthcare, health plans

    Responsible for developing and maintaining positive relationships with providers. Duties include, but are not limited to; periodic on-site visits, conducting provider seminars, communicating administrative changes, and facilitating resolution of non-routine claim issues and other billing questions. Coordinates and conducts provider training and develops and distributes provider network materials. Acts as a liaison between internal departments of Optima Health and the provider community
      • High School Grad or Equivalent
      • Healthcare 3 years
      • Health Insurance Plans 3 years
      • Microsoft Word
      • Microsoft PowerPoint
      • Microsoft Excel
    • 3 Days Ago

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    Service Now Architecht
    • Cyber Resource Provider LLC
    • Richmond, VA FULL_TIME
    • Job DetailsRole: VITA - Service Now Solutions Architect - TWO ROLES! (735805) Job Id : 735805 Positions : 2 Location: Richmond, VA 23225 Work Mode: Hybrid Interview: Both Web Cam and In Person Intervi...
    • Just Posted

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    VDOT Sr Oracle Database Developer TWO ROLES
    • Cyber Resource Provider LLC
    • Richmond, VA FULL_TIME
    • Job DetailsEngagement Type Contract Short Description Sr PL/SQL Oracle Resource/VDOT Sr Oracle Database Developer TWO ROLES Complete Description *Local Richmond candidates or candidates willing to rel...
    • Just Posted

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    Data Warehouse Architect
    • Cyber Resource Provider LLC
    • Richmond, VA FULL_TIME
    • Job DetailsRole: Chesterfield County Data Warehouse Architect 4 (735517) Job Id : 735517 Positions : 1 Location: Chesterfield, VA 23832 Work mode: Hybrid Interview: Both Web Cam and In Person Intervie...
    • 4 Days Ago

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    VDOT System Analyst 2
    • Cyber Resource Provider LLC
    • Richmond, VA FULL_TIME
    • Job DetailsEngagement Type Contract Short Description VDOT System Analyst 2VENDOR MAXIMUM SUBMITTAL RATE $ 60.00/hr. Complete Description **Please submit candidates who already live in Richmond, VA **...
    • 4 Days Ago

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    VDH Software Tester/QA Analyst 3
    • Cyber Resource Provider LLC
    • Richmond, VA FULL_TIME
    • Job DetailsEngagement Type Contract Short Description VDH Software Tester/QA Analyst 3Software QA analyst dedicated to specific, high-value Agency project. Complete Description *local candidates stron...
    • 10 Days Ago

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    0 Provider Relations Representative jobs found in Richmond, VA area

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    Patient Access Representative - Revenue Cycle - PRN
    • VCU Health
    • Richmond, VA
    • **$500.00 Sign On Bonus for offers accepted by June 30, 2024. Terms and Conditions apply** The ED Patient Access Rep reg...
    • 5/9/2024 12:00:00 AM

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    Patient Access Representative - Internal Medicine - Specialties
    • Virginia Commonwealth University Health System
    • Richmond, VA
    • The Patient Access Representative provides quality customer service to patients of all ages, their families, visitors, m...
    • 5/9/2024 12:00:00 AM

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    Client/Customer Services Representative
    • Ichgcp
    • Richmond, VA
    • **Client/Customer Services Representative** **IQVIA Holdings Inc.** ****Richmond, Virginia**** Job Overview Under close ...
    • 5/8/2024 12:00:00 AM

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    Client Services Representative
    • WorkRocket
    • Richmond, VA
    • The primary responsibility of this role is to meet or exceed client expectations related to the fulfilment and support o...
    • 5/8/2024 12:00:00 AM

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    Technical Service Specialist
    • Abb Holdings Inc
    • Richmond, VA
    • Technical Service Specialist Take your next career step at ABB with a global team that is energizing the transformation ...
    • 5/6/2024 12:00:00 AM

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    Service Representative
    • DuBois Chemicals, Inc.
    • Richmond, VA
    • **Service Representative** Richmond, VA, USA Req #818 Wednesday, January 19, 2022 For nearly 100 years, DuBois has deliv...
    • 5/6/2024 12:00:00 AM

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    Bilingual Patient Service Representative (English/Spanish) - PRN
    • Bon Secours
    • Richmond, VA
    • Thank you for considering a career at Bon Secours! PRN position Bon Secours About Us As a faith-based and patient-focuse...
    • 5/5/2024 12:00:00 AM

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    Patient Services Representative - Commonwealth Internal Medicine - Richmond, VA
    • Bon Secours
    • Richmond, VA
    • Thank you for considering a career at Bon Secours! Bon Secours As a faith-based and patient-focused organization, Bon Se...
    • 5/5/2024 12:00:00 AM

    Richmond (/ˈrɪtʃmənd/) is the capital of the Commonwealth of Virginia in the United States. It is the center of the Richmond Metropolitan Statistical Area (MSA) and the Greater Richmond Region. Richmond was incorporated in 1742 and has been an independent city since 1871. As of the 2010 census, the city's population was 204,214; in 2016, the population was estimated to be 223,170, making Richmond the fourth-most populous city in Virginia. The Richmond Metropolitan Area has a population of 1,260,029, the third-most populous metro in the state. Richmond is located at the fall line of the James R...
    Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
    Income Estimation for Provider Relations Representative jobs
    $52,235 to $66,826
    Richmond, Virginia area prices
    were up 1.2% from a year ago