Provider Relations Representative - Hybrid
Provider Relations Representative - Hybrid
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Job Description
City/State
Alexandria VAWork Shift
First (Days)Overview:
Sentara Health is seeking to hire a qualified individual to join our team as a Provider Relations Representative.
Position Status: Full-time day shift
Position Location: Must visit provider groups and meetings at least twice a month in designated area. The rest of the time - work from home. Hiring for Northern Virginia Richmond OR Hampton Roads area.
Standard Working Hours: Monday - Friday 8:00AM - 5:00PM
Overview
Responsible for developing and maintaining positive relationships with providers. Duties include but are not limited to; periodic on-site visits conducting provider seminars communicating administrative changes and facilitating resolution of non-routine claim issues and other billing questions. Coordinates and conducts provider training and develops and distributes provider network materials. Acts as a liaison between internal departments of Sentara Health Plans and the provider community
Education
High school diploma or equivalent required
Certification/Licensure
No specific certification or licensure requirements
Experience
Healthcare experience - 3 years required
Health insurance plans - 3 years required
Experience with managing complex providers
Preferred experience Medicare Medicaid and commercial insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobacco-free environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
