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Provider Relations Representative Jobs in Texas

6 jobs

Job Summary: The position of the Provider Relations Representative is to oversee the compliance of our contracted providers, recognize, pursue and grow new business from existing providers. The main duties include but are not limited to managing assigned physicians by developing, strengthening and maintaining working relationships. Our goals include driving business results, proactively resolving...
Job Summary: The Provider Relations Representative maintains and communicates provider enrollment information. Responsibilities: * Creates, maintains and audits provider database, including contract relationships, specialty data and demographic information. * Trains staff in claims submission and referral/authorization policies and procedures. Conducts ongoing needs assessment to provide continuou...
POSITION SUMMARY/RESPONSIBILITIES Working with Department management, evaluates, plans, develops and maintains HMO network of primary care physicians/groups including RHCs, FQHCs,PHOs, IPAs and/or multi-site primary care groups, specialist physicians (individuals and groups) and ancillary services providers for health plan services. Acts as a liaison to assigned providers to ensure that all of th...
Provider Relations Representative is responsible for interfacing with the physician/provider population to recover payment on behalf of company and client. Ensure production and quality standards are met. Initiate phone calls to customers, (providers/pharmacies/patients/carriers etc) to confirm receipt of mailings and to request action. The incumbent will provide timely response and resolution for...
Provider Relations Representative is responsible for interfacing with the physician/provider population to recover payment on behalf of company and client. Ensure production and quality standards are met. Initiate phone calls to customers, (providers/pharmacies/patients/carriers etc) to confirm receipt of mailings and to request action. The incumbent will provide timely response and resolution for...
Overview: Career opportunity to join the 'partner of choice for surgical care', Surgical Care Affiliates (S.C.A.) as a "Medical Insurance Collector- Accounts Receivable Representative? role. ?The ideal candidate has at least one year of medical insurance collections experience. ?We offer a great benefits package including health/dental insurance options, PTO, 401K, and more. ?All of which begin on...