Provider Relations Representative, Sr. jobs in Columbia, MD

Provider Relations Representative, Sr. 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. May provide guidance or expertise to less experienced representatives. Being a Provider Relations Representative, Sr. typically requires a bachelor's degree. Typically reports to a supervisor or manager. The Provider Relations Representative, Sr. gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Relations Representative, Sr. typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Provider Relations Representative
  • Jai Medical Systems Managed Care Organization, Inc.
  • Cockeysville, MD FULL_TIME
  • Jai Medical Systems Managed Care Organization, Inc. was founded in 1997 and serves a diverse population of children and adults throughout the State of Maryland.

    Since our founding, Jai Medical Systems' mission has been to provide high quality healthcare benefits and services to the people of Maryland. We continue this tradition of quality and excellence by working with our members to help identify their healthcare needs, while remaining an active and positive presence within our communities.

    Throughout our history of service, Jai Medical Systems has been consistently ranked by the State of Maryland as one of the highest rated Managed Care Organizations for quality. Jai Medical Systems' commitment to our members and high quality healthcare is demonstrated by our performance in health insurance quality measures, such as HEDIS ®. In fact, our HEDIS® scores for key healthcare quality indicators such as Well Child Checks, Breast Cancer Screenings, and Diabetes Care are among some of the highest HEDIS® scores in the nation.

    Provider Relations Representative Job Summary:

    We are currently seeking a hard-working, enthusiastic, and dedicated employee to join our Provider Relations team. Responsibilities include claims and appeals review, credentialing, contracting, and public relations.

    Provider Relations Representative Requirements:

    • College Degree or equivalent experience
    • Excellent time management and communication skills
    • Basic data management skills
    • Problem solving skills
    • Organizational skills and ability to multi-task
    • Strong work ethic and self driven
    • A desire to help others with excellent customer service
    • A commitment to excellence
    • Experience/knowledge of Microsoft Access/ Excel, AMISYS and IntelliSoft desirable, but not required.
    • Experience/knowledge of claims, appeals, and credentialing desirable, but not required
    • Full-time required in-office hours, Monday through Friday 9am to 6pm

    Job Type: Full-time

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Health insurance
    • Life insurance
    • Paid time off
    • Retirement plan
    • Vision insurance

    Schedule:

    • Monday to Friday

    Application Question(s):

    • Are you available to work required in office hours Monday-Friday 9am-6pm (1 hour lunch)?

    Education:

    • Bachelor's (Preferred)

    Work Location: In person

  • 3 Days Ago

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Provider Relations Representative (Full Time, Hybrid)
  • Sheppard Pratt
  • Towson, MD FULL_TIME
  • General Summary: This position is responsible for the implementation and development of community and professional relationships and for the growth of referral development in the local Baltimore and n...
  • 16 Days Ago

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Provider Relations Manager
  • Behavioral Health System Baltimore
  • Baltimore, MD FULL_TIME
  • The Provider Relations Manager develops and maintains good relationships with providers and stakeholders in Baltimore City’s Public Behavioral Health System (PBHS). As the local behavioral health auth...
  • 11 Days Ago

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Patient Relations Representative
  • Gastro Health
  • Catonsville, MD FULL_TIME
  • Gastro Health is seeking a Full-Time Patient Relations Representative to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers...
  • 1 Month Ago

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Coordinator - Patient Relations
  • Patient Relations in Baltimore, MD - LifeBridge Health
  • Baltimore, MD FULL_TIME
  • Summary JOB SUMMARY: Performs and supports the overall patient/family compliment, complaint and/or grievance process, including intake, processing, and resolution. Advocates for patients and families ...
  • 13 Days Ago

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Resident Relations Representative - Lakeside Homes
  • Millennia Housing Management
  • Halethorpe, MD FULL_TIME
  • Position Overview The Millenia housing management is seeking an experienced Resident Relations Representative. We are looking for someone that has office experience, preferably in affordable housing. ...
  • 3 Days Ago

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0 Provider Relations Representative, Sr. jobs found in Columbia, MD area

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Account Representative
  • Chesapeake Oncology Hematology Associates
  • Columbia, MD
  • Job Description Job Opening: Patient Accounts Representative/Accounts Receivable We are seeking a skilled and detail-ori...
  • 4/27/2024 12:00:00 AM

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Patient Relations Representative
  • Gastro Health
  • Reston, VA
  • Gastro Health is seeking a Full-Time Patient Relations Representative to join our team! Gastro Health is a great place t...
  • 4/25/2024 12:00:00 AM

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P/T Customer Service Rep. (State Farm Agency) - Spanish preferred
  • Mark Agency LLC
  • Frederick, MD
  • Job Description Job Description We are seeking a part-time Bilingual Spanish Customer Relations Representative to join o...
  • 4/25/2024 12:00:00 AM

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Customer Relations Representative - State Farm Agent Team Member
  • Eddie Bleiberg - State Farm Agent
  • Ellicott City, MD
  • Position Overview Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to th...
  • 4/24/2024 12:00:00 AM

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Customer Relations Representative
  • Divergent Drive Inc
  • Washington, DC
  • Job Description Job Description Divergent Drive is one of the most successful and innovative inside sales providers in t...
  • 4/23/2024 12:00:00 AM

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Patient Relations Representative
  • Gastro Health
  • Catonsville, MD
  • Gastro Health is seeking a Full-Time Patient Relations Representative to join our team! Gastro Health is a great place t...
  • 4/23/2024 12:00:00 AM

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Provider Relations Representative (Full Time, Hybrid)
  • Sheppard Pratt
  • Towson, MD
  • General Summary: This position is responsible for the implementation and development of community and professional relat...
  • 4/23/2024 12:00:00 AM

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Customer Relations Representative - State Farm Agent Team Member
  • Michael Blakeley - State Farm Agent
  • Oakton, VA
  • Position Overview Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to th...
  • 4/23/2024 12:00:00 AM

The center of Columbia is located at 39°12.5′N 76°52′W / 39.2083°N 76.867°W / 39.2083; -76.867. Because it is unincorporated, there is confusion over the exact limits of Columbia. In the strictest definition, Columbia comprises only the land governed under covenants by the Columbia Association. This is a considerably smaller area than the census-designated place (CDP) as defined by the United States Census Bureau. The CDP has a total area of 32.2 square miles (83.4 km2), of which 31.9 square miles (82.7 km2) are land and 0.3 square miles (0.7 km2), or 0.80%, are water. The CDP includes a nu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$73,382 to $91,003
Columbia, Maryland area prices
were up 1.5% from a year ago

Provider Relations Representative, Sr. in Kingsport, TN
A job as a Provider Relations Representative falls under the broader career category of Business Operations Specialists, All Other.
February 18, 2020
Provider Relations Representative, Sr. in Sioux City, IA
The PR Rep serves as a liaison between contracted payers, providers and ancillary providers to promote superior customer service and seamless programs.
February 16, 2020
Provides telephonic provider education to new providers.
February 14, 2020
Provider Relations Representative, Sr. in Buffalo, NY
This position provides on-going communication, in-service, orientation, and direction to these contracted provider offices.
February 03, 2020