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Provider Relations Representative

Company: VirtualVocations
Location: Grand Prairie
Posted on: November 20, 2024

Job Description:

A company is looking for a Provider Relations Representative to educate providers and members about plan designs and address inquiries related to reimbursement and network access.



Key Responsibilities

Facilitate inquiries from providers regarding reimbursement rates
Direct members to in-network or RBP accepting providers
Maintain compliance with company policies and facilitate the appeals process


Required Qualifications

1+ years of experience in customer service
Experience working independently and completing assignments within established practices
Ability to work in a fast-paced, customer-focused environment
Experience working in a healthcare environment with providers is a plus

Keywords: VirtualVocations, The Colony , Provider Relations Representative, Other , Grand Prairie, Texas

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