Provider Relations Representative jobs in Weirton, WV

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 Coordinator
  • Pantherx Specialty LLC
  • Pittsburgh, PA FULL_TIME
  • 7,000 Diseases - 500 Treatments - 1 Rare Pharmacy

    PANTHERx is the nation’s largest rare disease pharmacy, and we put the patient experience at the top of everything that we do. 

    If you are looking for a career in the healthcare field that embraces authentic dedication to patient care, you don’t need to look beyond PANTHERx. In every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients.   

    We are seeking team members who:

    Are inspired and compassionate problem solvers;

    Produce high quality work; 

    Thrive in the excitement of the ever-challenging environment of modern medicine; and 

    Are committed to achieving superior health outcomes for people living with rare and devastating diseases. 

    At PANTHERx, we know our employees are the driving force in what we do. We cultivate talent and encourage growth within PANTHERx so that our associates can continue to explore their interests and expand their careers. Guided by our mission to provide uncompromising quality every day, we continue our strategic growth to further reach those affected by rare diseases.  

    Join the PANTHERx team, and define your own RxARE future in healthcare!


    Location: Pittsburgh, PA

    Classification: Non-Exempt

    Status: Full-Time

    Reports to: Supervisor, Core Specialty Operations.

    Purpose:

    The Provider Relations Coordinator I maintains communications with key providers and provides high touch services to these entities within the Pharmacy Operations department of PANTHERx Rare Pharmacy. 

    Responsibilities:

    • Acts as primary point of contact for specialty referral sources.
    • Drives intake process from receipt of referral through initial dispense.
    • Coordinates efforts among internal departments to ensure goal turnaround time.
    • Maintains service levels and performance guarantees.
    • Additional projects as assigned.

    Required Qualifications:

    • High school diploma or general education degree (GED).
    • Excellent communication skills and 1 year of experience in pharmacy operations.
    • Knowledge of CPR .
    • Licensure Required: N/A.

    Preferred Qualifications:

    • 3-5 years of specialty pharmacy experience.

    Work Environment:

    This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

    Physical Demands:


    While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands and fingers, handle or feel; and reach with hands and arms. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function of the job.

    Benefits:

    Hybrid, remote and flexible on-site work schedules are available, based on the position.  PANTHERx Rare Pharmacy also affords an excellent benefit package, including but not limited to medical, dental, vision, health savings and flexible spending accounts, 401K with employer matching, employer-paid life insurance and short/long term disability coverage, and an Employee Assistance Program!   Generous paid time off is also available to all full-time employees, as well as limited paid time off for part-time employees.  Of course we offer paid holidays too!

    Equal Opportunity:

    PANTHERx Rare Pharmacy is an equal opportunity employer, and does not discriminate in recruiting, hiring, promotions or any term or condition of employment based on race, age, religion, gender, ethnicity, sexual orientation, gender identity, disability, protected veteran's status, or any other characteristic protected by federal, state or local laws.  


  • 1 Month Ago

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Provider & Community Relations Coordinator (Greene County)
  • UPMC
  • Pittsburgh, PA FULL_TIME
  • UPMC Community Care Behavioral Health is seeking a full-time Provider & Community Relations Coordinator to support the Network Management Department in the Greene County area! The Provider & Community...
  • 28 Days Ago

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Customer Relations Representative
  • Infinite Horizons
  • Pittsburgh, PA FULL_TIME
  • Are you looking to make a change in the world? Our Non-Profit fundraising organization is thrilled to be making a perpetual impact on our local community on a daily basis. Infinite Horizons is current...
  • 30 Days Ago

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Customer Relations Representative
  • Infinite Horizons
  • Wexford, PA FULL_TIME
  • Are you looking to make a change in the world? Our Non-Profit fundraising organization is thrilled to be making a perpetual impact on our local community on a daily basis. Infinite Horizons is current...
  • 1 Month Ago

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Practice Manager - Dental Site
  • Provider Openings
  • Rochester, PA FULL_TIME
  • Position Overview The Practice Manager I will be responsible for supervision of our Rochester Dental site and will effectively carry out the Network’s Policies and Procedures while communicating manag...
  • 5 Days Ago

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Practice Manager - Dental Site
  • Provider Openings
  • Rochester, PA FULL_TIME
  • Position Overview The Practice Manager I will be responsible for supervision of our Rochester Dental site and will effectively carry out the Network’s Policies and Procedures while communicating manag...
  • 5 Days Ago

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0 Provider Relations Representative jobs found in Weirton, WV area

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Overnight Member Services Representative - Part Time - Crafton
  • Taymax Group
  • Pittsburgh, PA
  • Crafton 1 Foster Ave, Crafton, PA 15205, United States of America Pay : $10.50 -$11.00 It's fun to work in a company whe...
  • 4/23/2024 12:00:00 AM

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Customer Service Representative
  • Coen
  • Weirton, WV
  • Position Overview: Job Title: Customer Service Representative Location: Weirton, WV Salary: $13.25 / hourly Job Descript...
  • 4/22/2024 12:00:00 AM

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Medicare Provider Relations Representative
  • The Cigna Group
  • Pittsburgh, PA
  • SUMMARY: This position is an external provider facing role with account management responsibilities for a medium to low ...
  • 4/20/2024 12:00:00 AM

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Customer Service Rep
  • Applied Industrial Technologies, Inc.
  • Weirton, WV
  • ** Customer Service Rep** Location: Weirton, WV, US, 26062 Company: 1100-Applied Industrial Technologies Customer servic...
  • 4/20/2024 12:00:00 AM

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Customer Service Representative
  • Walmart
  • Beaver, PA
  • **Job Title: Customer Service Representative (Walmart)** **Job Summary:** As a Customer Service Representative at Walmar...
  • 4/19/2024 12:00:00 AM

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Customer Service Representative
  • Walmart
  • Coraopolis, PA
  • **Job Title: Customer Service Representative (Walmart)** **Job Summary:** As a Customer Service Representative at Walmar...
  • 4/19/2024 12:00:00 AM

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Customer Service Representative (Loan Consultant II)
  • Lendmark Financial Services, LLC
  • Pittsburgh, PA
  • At Lendmark Financial Services, we believe the success of our company is specifically attributable to the quality of our...
  • 4/19/2024 12:00:00 AM

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Customer Service Representative (Loan Consultant II)
  • Lendmark Financial Services, LLC
  • Pittsburgh, PA
  • At Lendmark Financial Services, we believe the success of our company is specifically attributable to the quality of our...
  • 4/19/2024 12:00:00 AM

The city of Weirton is located at 40°25′N 80°35′W / 40.417°N 80.583°W / 40.417; -80.583 (40.41, −80.58). It extends from the Ohio border on the west to the Pennsylvania border on the east at a point where the northern extension of West Virginia is five miles across. Therefore, it is one of only three cities in the United States that borders two other states on two sides, and its own state on the other two sides, the others being Hancock, Maryland and Pittsburg, New Hampshire. Weirton is across the Ohio River from Steubenville, Ohio, and about 35 miles west of Pittsburgh, Pennsylvania, along...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$52,167 to $66,740
Weirton, West Virginia area prices
were up 1.9% from a year ago