PROVIDER RELATIONS REP

Location
Richmond, VA
Posted
Mar 09, 2017
Closes
Apr 06, 2017
Function
Nurse
Industry
Healthcare
Hours
Full Time
Job Description:
Optima Health is seeking a self-directing, multi-tasking, relationship building team player to work as a Provider Relations Representative in Richmond, VA. Key qualifications include: experience in hospital billing, claims, and reimbursement and a sound understanding of systems operations- the flow of work and automated claims processing. Familiarity with Microsoft Office with an emphasis on Excel, data spreadsheets for analytics, etc is a plus. The ideal candidate will possess outstanding communication skills and customer service, including conflict resolution when dealing with challenging customers.

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 Optima Health and the provider community

Education Level
High School Grad or Equivalent

Experience
Required: Health Insurance Plans - 3 years, Healthcare - 3 years

Preferred: None, unless noted in the “Other” section below

License
None, unless noted in the “Other” section below

Skills
Required: Microsoft Excel, Microsoft PowerPoint, Microsoft Word

Preferred: None, unless noted in the “Other” section below

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