Provider Relations Representative, Sr. jobs in Wichita, KS

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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Medicaid Liaison (Provider Relations)
  • EMBERHOPE, INC
  • Wichita, KS FULL_TIME
  • Location - Wichita KS

    Find your fit. Ignite your passion. Change a life.

    Everyone has a calling that shapes them, and it looks different for each person, but the passion remains the same. You can be an irreplaceable part of bringing hope to at-risk youth and families. When you come to work for EmberHope, you can create impact in a youth’s life. Even in the dark, there is still an ember of hope.

    Where do you fit?

    To be a successful Medicaid Liaison (Provider Relations) you must become able to do the following always:

    Support the permanency and cross-over case management teams by troubleshooting Medicaid issues and interfacing with community stakeholders.

    Serve as a liaison for the Company with the Managed Care Organizations (MCOs) as well as any specialty service providers that may offer unique services to our children, youth, and families.

    Respond to MCO inquiries within 2 business days, via e-mail or phone, and document all correspondence in our electronic client record.

    Serve as the credentialing specialist to ensure the therapists connected to this contract are credentialed with the MCOs.

    Host quarterly meetings with external services providers to discuss any needs and system improvements that we can address to partner and serve our families better.

    Conduct community stakeholders meetings.

    Partner with the internal communications department to develop community messaging.

    Follow Company Policy and Procedure and operate according to the Company’s Program Practice Guidelines.

  • 1 Day Ago

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NP/PA
  • Compass Medical Provider, LLC
  • SALINA, KS CONTRACTOR
  • Compass Medical Provider, LLC is looking for Nurse Practitioners & Physician Assistants to assist with National Guard Events. Provide Physical Health Assessments to military personnel, which includes ...
  • 19 Days Ago

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Administrative Dental Assistant
  • Compass Medical Provider, LLC
  • Salina, KS FULL_TIME
  • Are you interested in working with a company that primarily cares for our Nations Soldiers? Compass Medical Provider is proud and honored to support our Troops Nationwide. Caring for the Soldier has b...
  • Just Posted

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Audiologist
  • Compass Medical Provider, LLC
  • SALINA, KS CONTRACTOR
  • Compass Medical Provider is looking to team with licensed Audiologist to perform SPRINT test/ diagnostic testing for the National Guard. This is PRN contract work on the weekends. Clinical Doctorate (...
  • 1 Day Ago

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PSV Specialist
  • Medical Provider Resources Inc.
  • Wichita, KS FULL_TIME
  • GENERAL DESCRIPTION The Primary Source Verification Specialist reports to the Director of Primary Source Verification of Medical Provider Resources. Each provider making initial appointment to a MPR p...
  • 7 Days Ago

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Optometrist
  • Compass Medical Provider, LLC
  • Salina, KS CONTRACTOR
  • Compass Medical Provider is seeking experienced Optometrists to provide precise vision screenings for the National Guard. 1 year experience and attention to detail. Must be able to stand for long peri...
  • 10 Days Ago

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0 Provider Relations Representative, Sr. jobs found in Wichita, KS area

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Customer Service Representative
  • Walmart
  • Wichita, KS
  • **Job Title: Customer Service Representative (Walmart)** **Job Summary:** As a Customer Service Representative at Walmar...
  • 4/24/2024 12:00:00 AM

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Spanish Customer Service Representative
  • MCI Military Recruitment
  • Wichita, KS
  • POSITION OVERVIEW: INBOUND BILINGUAL SPANISH CALL CENTER REPRESENTATIVE SUPPORTING BANKING OPERATIONS We are looking for...
  • 4/23/2024 12:00:00 AM

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Digital Customer Service Representative
  • INTRUST Bank
  • Wichita, KS
  • At INTRUST Bank, 10 character qualities are at the foundation of all we do. They include respect, positivity, compassion...
  • 4/22/2024 12:00:00 AM

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Tax Customer Service Representative II (Experienced)
  • MCI Military Recruitment
  • Wichita, KS
  • POSITION OVERVIEW: Tax Customer Service Representative II (Experienced) Looking to work for a fast growing company? Star...
  • 4/22/2024 12:00:00 AM

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Tax Customer Service Representative II (Experienced)
  • MCI Jobs
  • Wichita, KS
  • POSITION OVERVIEW: Tax Customer Service Representative II (Experienced) Looking to work for a fast growing company? Star...
  • 4/22/2024 12:00:00 AM

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Customer Service Clerk I - Express
  • City of Wichita, KS
  • Wichita, KS
  • Salary: $16.91 Hourly Location : Wichita, KS Job Type: Full-time Job Number: CUST SVC CLERK 1 A Exp Off Department: Fina...
  • 4/21/2024 12:00:00 AM

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Customer Service Agent (Mid-Shift)
  • MCI Military Recruitment
  • Wichita, KS
  • POSITION OVERVIEW: CUSTOMER SERVICE AGENT (MID-SHIFT) We are looking for customer service agents to support inbound cust...
  • 4/21/2024 12:00:00 AM

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CALL CENTER REPRESENTATIVE (Full-Time & Part-Time)
  • ValorVIP
  • Wichita, KS
  • POSITION OVERVIEW: CUSTOMER SERVICE REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS We are looking for Cu...
  • 4/21/2024 12:00:00 AM

Downtown Wichita is at 37°41′20″N 97°20′10″W / 37.68889°N 97.33611°W / 37.68889; -97.33611 (37.688888, −97.336111), at an elevation of 1,299 feet (396 m). Wichita is in south-central Kansas at the junction of Interstate 35 and U.S. Route 54. Part of the Midwestern United States, it is 157 mi (253 km) north of Oklahoma City, 181 mi (291 km) southwest of Kansas City, and 439 mi (707 km) east-southeast of Denver. The city lies on the Arkansas River near the western edge of the Flint Hills in the Wellington-McPherson Lowlands region of the Great Plains. The area's topography is characterized by...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$66,802 to $82,843
Wichita, Kansas area prices
were up 1.3% 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