Provider Relations Rep

Provider Relations Representative I

Natomas | $22-$24/hour | Full-Time | Temp-to-Hire

Our client, a well-established healthcare organization, is seeking a Provider Relations Representative I to join their team on a temp-to-hire basis.

This role is ideal for someone who enjoys working behind the scenes, managing data, coordinating communications, and ensuring information is accurate and compliant. The position is primarily focused on provider data maintenance, reporting, research, and email correspondence, with minimal phone work.

What You'll Do

• Maintain and update provider records, including additions, terminations, and demographic changes
• Ensure provider data accuracy and compliance with established procedures
• Manage high-volume, time-sensitive email communications and follow-ups
• Research and resolve provider data discrepancies
• Respond to inquiries from internal departments, providers, vendors, and members
• Generate and distribute monthly and quarterly reports
• Support online provider access systems, including username and password management
• Assist with system and website testing activities
• Help maintain provider directories and support annual provider surveys and network filings
• Participate in special projects as assigned

What We're Looking For

• Associate's degree in Business Administration or a related field preferred
• Minimum 2 years of provider services, claims, or provider data management experience
• HMO experience preferred
• Facets experience is a plus
• Strong computer skills, including Microsoft Outlook, Excel, and Word
• Excellent organizational skills and attention to detail
• Ability to manage multiple priorities in a fast-paced environment
• Strong written communication skills
• Ability to work independently while collaborating effectively with a team