Provider Relations Representative jobs in Saint Louis, MO
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
- BJC
-
Saint Louis, MO
FULL_TIME
-
Additional Information About the Role
Do you have experience with dealing with escalated insurance issues? BJC is looking for a Provider Relations Representative!
Remote Position (MO and IL only)
Monday - Friday
Flex Schedule
OverviewBJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.
BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.
BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.
The BJC Managed Care department includes multiple functions such as managed care contracting, financial analysis, systems and operations, value-based care and payment programs, payor and provider relations, and direct to employer solutions.
Preferred QualificationsRole Purpose
Understands provider relationships and assists in activities that ensure the success of BJC providers in contract participation.
Responsibilities
- Provides operational support to the department leadership.
- Assists with financial research and analysis for BJC providers and care plans.
- Coordinates and recommends communication between participating parties in regard to contracts and financial issues.
- Coordinates internal and external education, meetings and seminars.
- Conducts audits of provider compliance with contractual obligations.
- High School Diploma or GED
- 2-5 years
- No Experience
- Associate's Degree - Business
- 5-10 years
- Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
- Disability insurance* paid for by BJC
- Pension Plan*/403(b) Plan funded by BJC
- 401(k) plan with BJC match
- Tuition Assistance available on first day
- BJC Institute for Learning and Development
- Health Care and Dependent Care Flexible Spending Accounts
- Paid Time Off benefit combines vacation, sick days, holidays and personal time
- Adoption assistance
- 3 Days Ago
Minimum Requirements
Education
Experience
Supervisor Experience
Preferred Requirements
Education
Experience
Benefits and Legal Statement
BJC Total Rewards
At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
To learn more, go to www.bjctotalrewards.com/Benefits
*Not all benefits apply to all jobs
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
- TruGreen - Sales Representative
-
Saint Louis, MO
FULL_TIME
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- TruGreen - Sales Representative - St. Charles, MO
-
Hardin, IL
FULL_TIME
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- Provider Partners Health Plan
-
Poplar Bluff, MO
FULL_TIME
- Nurse Practitioner Job Description POSITION SUMMARY The Institutional Special Needs Plan (ISNP) Nurse Practitioner is responsible for coordinated and comprehensive care of its Provider Partner Health ...
- 16 Days Ago
- Daniel Rosen - State Farm Agent
-
Carlyle, IL
FULL_TIME
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- 6 Days Ago
- Tim Kilo - State Farm Agent
-
St.Louis, MO
PART_TIME
- Position Overview Looking for a part-time job that provides meaningful work and competitive compensation? Consider a position in a State Farm Agent's office. Responsibilities Establish customer relati...
- 27 Days Ago
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0 Provider Relations Representative jobs found in Saint Louis, MO area
- Mike Haight - State Farm Agent
-
Wentzville, MO
- Job Description Job Description Position Overview: Are you outgoing and customer-focused? Do you enjoy working with the ...
- 4/23/2024 12:00:00 AM
- A.P.R., Inc. (AlphaProTemps)
-
Saint Louis, MO
- Job Description Job Description Patient Access Representative Description: Shift details are Monday through Friday 8:00 ...
- 4/23/2024 12:00:00 AM
- A.P.R., Inc. (AlphaProTemps)
-
Saint Louis, MO
- Job Description Job Description Patient Access Representative Description: Shift details are Monday through Friday 8:00 ...
- 4/23/2024 12:00:00 AM
- Malibu Events Promotions
-
Saint Louis, MO
- Passionate about brand management? We have an exciting opportunity for an Assistant Brand Manager to join our dynamic te...
- 4/22/2024 12:00:00 AM
- Tivly
-
Saint Louis, MO
- Job Type Full-time Description Tivly is one of the fastest-growing, profitable insurtech companies, connecting businesse...
- 4/22/2024 12:00:00 AM
- North Inc
-
Saint Louis, MO
- Job Description Job Description Client Relations Representative (Entry Level) North, Inc. values results and is committe...
- 4/21/2024 12:00:00 AM
- Washington University in St. Louis
-
Saint Louis, MO
- Scheduled Hours 40 Position Summary Obtains insurance information, referral forms and counsels patients on financial ass...
- 4/19/2024 12:00:00 AM
- Washington University in St. Louis
-
Saint Louis, MO
- Scheduled Hours 40 Position Summary Position is responsible for providing clinical office support which includes answeri...
- 4/19/2024 12:00:00 AM
About Saint Louis, Missouri
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