Provider Relations Representative

Location
Richmond, VA
Salary
Competitive
Posted
Jan 03, 2019
Closes
Feb 11, 2019
Ref
118674BR
Function
Administrative
Industry
Healthcare
Hours
Full Time
Overview:

Optima Health is hiring a Provider Relations Representative to join our Network/Management Team in Richmond, VA.

Hours/Shift:

Monday - Friday, 8am-5pm

Position Details/Department Description:

The ideal candidate possesses:
  • Strong communication skills.
  • Working knowledge of the healthcare industry.
  • Exceptional listening skills.
  • Extremely organized.
  • The ability to work as an individual and be a team player.

Division Highlights:

Optima Health offers a full suite of commercial health insurance products including employee-owned and employer-sponsored plans, as well as Individual and Family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services.

As a nationally recognized provider of health plan coverage and innovative wellness programs, we live our mission "to improve health everyday." This same commitment and dedication directs our philosophy as an employer. When you join Optima Health, you will experience our deep passion for heal and service excellence while benefiting from a culture of opportunity, learning, career growth, and support --every day. Optima Health is a service of Sentara Healthcare, so joining Optima is joining the Sentara Healthcare family.


Sentara Benefits:

Sentara employees strive to make our communities healthier places to live. We’re setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits, CLICK HERE!

Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!



Other
Keyword: claims, health care, customer service, provider management, provider relations, managed care, health plan

Equal Opportunity Employer

Responsibilities:

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

Qualifications:

Education Level
High School Grad or Equivalent

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

Skills
Required: Microsoft Excel, Microsoft PowerPoint, Microsoft Word

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