Provider Relations Representative jobs in Albuquerque, NM
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)
Recently Added Provider Relations Representative jobs
Provider Relations Rep
- Health Care Service Corp.
-
Albuquerque, NM
OTHER
- At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This position is responsible for enhancing relationships with facility and physician providers; and acting as liaison with providers through education, training, claims assistance and ongoing provider service. Required Job Qualifications: *Bachelor Degree and 1 year managed care experience in products or contracts OR 5 years’ experience in managed care environment with 1 year experience in products or contracts. *1 year experience in a position that demonstrates leadership abilities and sound decision-making. *Knowledge of contracts, applications and products; claims processing systems. *Knowledge and experience in provider reimbursement methods. *Meet deadlines and work well under pressure and take initiative to work independently. *Verbal and written communication skills; organizational and planning skills. *PC proficiency to include Microsoft Office. *Ability and willingness to travel, including overnight stays. Preferred Job Qualifications: *1 year experience in provider relations. *1 year experience in claims. *This is a hybrid role requiring 3 days in the office and 2 days remote weekly. We encourage people of all backgrounds and experiences to apply. Even if you don’t think you are a perfect fit, apply anyway - you might have qualifications we haven’t even thought of yet. #LI-Hybrid #LI-EL1 #INJLF Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! HCSC Employment Statement: HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Legal and Privacy Health Care Service Corporation is an Equal Opportunity Employment / Affirmative Action employer Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2022 Health Care Service Corporation. All Rights Reserved.
- 21 Days Ago
Market Director, Provider Relations & Outreach
- Lovelace Health System, Inc.
-
Albuquerque, NM
FULL_TIME
- Overview Ardent Health Services is a leading provider of healthcare in communities across the country. Through its subsidiaries, Ardent owns and operates nearly 200 sites of care and 30 hospitals acro...
- 1 Month Ago
Provider representative
- Health Care Service Corporation
-
Albuquerque, NM
FULL_TIME
- At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning p...
- 15 Days Ago
Customer Relations Representative
- Adventures With The Bissingers
-
Albuquerque, NM
FULL_TIME
- 🌟 Join Our Growing Team of Travel Experts! 🌟As the demand for travel skyrockets, we're on the lookout for passionate individuals to join our team. We offer specialized training and continuous growth...
- 1 Month Ago
Account Representative - State Farm Agent Team Member (Customer Relations Focus)
- Joshua Turney - State Farm Agent
-
Gallup, NM
FULL_TIME
- Position Overview State Farm Insurance Agent located in Gallup, NM is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for Joshua Turney - State Farm A...
- 7 Days Ago
Customer Relations Representative - State Farm Agent Team Member
- Marty Saiz - State Farm Agent
-
Albuquerque, NM
FULL_TIME
- Position Overview Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the ...
- 1 Month Ago
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0 Provider Relations Representative jobs found in Albuquerque, NM area
Senior Provider Relations Representative
- Molina Healthcare
-
Albuquerque, NM
- ***Remote and must live in New Mexico*** Job Description Job Summary Molina Health Plan Network Provider Relations jobs ...
- 4/22/2024 12:00:00 AM
Senior Customer Service Representative
- Bernalillo County, NM
-
Albuquerque, NM
- Salary : $35,609.60 - $49,545.60 Annually Location : Albuquerque, NM Job Type: Full Time Regular (FR) Job Number: 240066...
- 4/22/2024 12:00:00 AM
Customer Service Representative
- Experian Health
-
Albuquerque, NM
- **Customer Service Representative** * NM-528, Albuquerque, NM, USA * Employees can work remotely * Full-time * Departmen...
- 4/22/2024 12:00:00 AM
Field Service Representative
- Steris plc.
-
Albuquerque, NM
- Job Title: Field Service Representative Description: At STERIS, we help our Customers create a healthier and safer world...
- 4/21/2024 12:00:00 AM
Customer Service Advisor
- Pep Boys Inc
-
Albuquerque, NM
- **** **Customer Service Advisor** **Customer Service Advisor** **Job ID:** 5000782855506 **Category:** Service Desk **Po...
- 4/19/2024 12:00:00 AM
Customer Service Associate - Albuquerque
- Fidelity Investments
-
Albuquerque, NM
- **Customer Service Associate Albuquerque** **Albuquerque , NM** **** **Job Description:** **Are you looking for a career...
- 4/19/2024 12:00:00 AM
Rental Housing Customer Service Representative
- Leidos
-
Albuquerque, NM
- Description Leidos is seeking full-time Rental Housing Customer Service Representatives at the FHA Resource Center in Al...
- 4/11/2024 12:00:00 AM
Customer Service Representative
- Leidos
-
Albuquerque, NM
- Description Leidos is seeking full-time Customer Service Representatives at our FHA Resource Centers in Albuquerque, NM ...
- 4/11/2024 12:00:00 AM
About Albuquerque, New Mexico
According to the United States Census Bureau, Albuquerque has a total area of 189.5 square miles (490.9 km2), of which 187.7 square miles (486.2 km2) is land and 1.8 square miles (4.7 km2), or 0.96%, is water.
Albuquerque lies within the northern, upper edges of the Chihuahuan Desert ecoregion, based on long-term patterns of climate, associations of plants and wildlife, and landforms, including drainage patterns. Located in central New Mexico, the city also has noticeable influences from the adjacent Colorado Plateau semi-desert, Arizona-New Mexico Mountains, and Southwest plateaus and plains ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$50,346 to $64,410
Albuquerque, New Mexico area prices
were up 2.5% from a year ago
were up 2.5% from a year ago