Provider Relations Representative jobs in New York

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 Advocate
  • CAIPA MSO LLC
  • New York, NY FULL_TIME
  • Description

    As a Provider Relations Advocate, you will be expected to coordinate and document provider inquiries and provide prompt and courteous service to requests for assistance for all providers via face-to-face, telephone calls, faxes, and emails. Assist in supporting the network strategies and network initiatives via calls or in-person outreach. The successful individual must be able to communicate and collaborate effectively with others; internal as well as external contacts and resources in order to achieve desired results and resolution of issues.


    Responsibilities:

    • Resolves provider issues by researching causes and working with various health plans and internal stakeholders.
    • Build and maintain provider relationships with practices through active outreach
    • Assist in designing and implement programs that nurture positive relationship between IPA/Provider/Healthplan
    • Identify gaps in network composition and services and help support strategies for network initiatives, including network expansion, recruitment, and contracting supports.
    • Leading and reporting on monthly meetings.
    • Responds to provider that is seeking assistance.
    • Works with providers, health plans, and internal departments.
    • Builds collaborative relationships with multiple health plan representatives and providers.
    • Staying updated and providing education to providers on various health plan policies.
    • Assisting and completing various projects on time.
    • Other duties and projects as assigned in line with department and company needs.



    Requirements

     Requirements

    • Strong communication and interpersonal skills to effectively present information and respond to questions from representatives, providers, and the general public.
    • Proven analytical skills
    • Excellent multi-tasking, prioritizing, and time management skills.
    • Knowledge and experience with Adobe, and Microsoft Office products.
    • Bachelor's Degree; or two years related experience and/or training.
    • Chinese language is preferred but not required.
    • Willing to travel 70% of the time in the field working hands on with providers

    Benefits

    • Competitive Health Benefits including Medical, Vision, Dental and Life Insurance
    • 401k retirement plan with a 6% corporate match 
    • Paid Time Off
    • 13 Paid Holidays
    • Hybrid work schedule

    Salary Range

    $45k-$55k

  • 15 Days Ago

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Manager of Provider Relations
  • MetroPlusHealth
  • New York, NY FULL_TIME
  • Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a c...
  • 18 Days Ago

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Provider Relations Specialist I
  • CorVel Corporation
  • Syracuse, NY FULL_TIME
  • Assists providers via phone and email with basic to complex bill review questions and requests. Documents bill review errors for tracking and trending to improve team error rate. Acts as a positive an...
  • 23 Days Ago

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Provider Relations Specialist I
  • CorVel Brand
  • Syracuse, NY FULL_TIME
  • Assists providers via phone and email with basic to complex bill review questions and requests. Documents bill review errors for tracking and trending to improve team error rate. Acts as a positive an...
  • 23 Days Ago

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Provider Relations Specialist
  • HealthCare Partners, MSO
  • Garden, NY FULL_TIME
  • HealthCare Partners, IPA and HealthCare Partners, MSO together comprise our health care delivery system providing enhanced quality care to our members, providers and health plan partners. Active since...
  • 24 Days Ago

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Manager of Provider Relations
  • MetroPlus Health Plan
  • New York, NY FULL_TIME
  • Manager of Provider Relations Job Ref: 90227 Category: Professional Department: Provider Network Operations Location: 50 Water Street, 7th Floor, New York, NY 10004 Job Type: Regular Employment Type: ...
  • 25 Days Ago

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Provider Relations Representative
  • DOCTORS HEALTHCARE PLANS, INC.
  • Broward County, FL
  • Job Description Job Description Position Purpose: Exercise the duties and responsibilities delegated to the Provider Rel...
  • 4/23/2024 12:00:00 AM

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Provider Relations Representative
  • TEKsystems
  • Lincoln, NE
  • **** Provider Relations Representative **** *First week of training will be onsite in Lincoln. After that the position w...
  • 4/22/2024 12:00:00 AM

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Provider Relations Representative
  • University Health System
  • San Antonio, TX
  • Full Time 12238 Silicon Drive Professional Non-Nursing Day Shift POSITION SUMMARY/RESPONSIBILITIES Provider Relations Re...
  • 4/22/2024 12:00:00 AM

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Medicare Provider Relations Representative
  • Cigna
  • Denver, CO
  • SUMMARY: This position is an external provider facing role with account management responsibilities for a medium to low ...
  • 4/21/2024 12:00:00 AM

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Provider Relations Representative
  • American Health Plans
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 4/20/2024 12:00:00 AM

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Provider Relations Representative
  • American Health Plans
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 4/20/2024 12:00:00 AM

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Provider Relations Representative
  • Phoebe Health
  • Albany, GA
  • Description JOB SUMMARY * Serves as a liaison between PHP providers and the organization to meet provider network servic...
  • 4/20/2024 12:00:00 AM

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Provider Relations Representative
  • MBI Health Services
  • Los Angeles, CA
  • Job Description Job Description Position Title: Provider Relations Representative Job Type: Full-Time / Hybrid Departmen...
  • 4/19/2024 12:00:00 AM

New York is a state in the Northeastern United States. New York was one of the original thirteen colonies that formed the United States. New York covers 54,555 square miles (141,300 km2) and ranks as the 27th largest state by size.[3] The highest elevation in New York is Mount Marcy in the Adirondacks, at 5,344 feet (1,629 meters) above sea level; while the state's lowest point is at sea level, on the Atlantic Ocean. In contrast with New York City's urban landscape, the vast majority of the state's geographic area is dominated by meadows, forests, rivers, farms, mountains, and lakes. Most of...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$57,095 to $73,044