Managed Care Provider Relations Manager develops, manages, and sustains relationship with members of physician network of managed care service providers. Recruits new physicians and manages the credentialing and orientation process. Being a Managed Care Provider Relations Manager serves as a resource for physicians, answering questions and providing information about network procedures or contracts. Monitors provider performance and resolves any issues. Additionally, Managed Care Provider Relations Manager reviews billings and claims payments according to managed care contracts. Requires a bachelor's degree. Typically reports to the head of a unit/department. The Managed Care Provider Relations Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Managed Care Provider Relations Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
`Duties:
- Direct daily interaction with Health Care Providers and agency staff.
- Educate community about our services and serve as a liaison between potential participants, the program and community resources.
- Willing to travel and do community presentations.
- Maintain a thorough understanding of agency services, and policies to effectively assist participants.
- Utilize phone etiquette skills to ensure positive interactions with customers.
- Communicate effectively in English and Spanish.
- Have own transportation
Requirements:
- Previous customer service experience is preferred.
- Strong communication skills, in English and Spanish.
- Excellent phone etiquette and active listening skills.
- Ability to analyze customer needs and provide appropriate solutions.
To be successful in this role, you must have strong communication skills, both over the phone and in person.
If you are a detail-oriented individual with excellent customer service skills, we would love to hear from you. Apply today to join our team as a Provider Relations Representative!
Job Type: Full-time
Pay: $15.00 per hour
Expected hours: 40 per week
Schedule:
Work Location: In person
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