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A leading company in healthcare services is seeking a Provider Service Representative to manage relationships with healthcare providers. The role involves onboarding, contracting, and ensuring data accuracy, requiring strong communication skills and a background in healthcare operations. Candidates should have a bachelor's degree and experience in provider services, with proficiency in Microsoft Office. This position offers the chance to contribute to provider management within a dynamic company, serving as a crucial link in healthcare delivery.
The Provider Service Representative (PSR) plays a critical role in managing relationships with healthcare providers, ensuring smooth onboarding and contracting processes, and overseeing the accuracy of provider data within the system. This position is responsible for providing high-quality service to providers, resolving inquiries, facilitating contracting agreements, and maintaining up-to-date provider information in databases.
Key Responsibilities :
Serve as the primary point of contact for healthcare providers responding to inquiries and resolving issues related to contract, rates and escalations.
Coordinate the contracting process for new and existing providers, including drafting and reviewing contracts, ensuring compliance with all regulatory and network requirements.
Ensure the accuracy and integrity of provider data within the system, including demographic details, specialties, affiliations, and contract terms.
Collaborate with internal teams such as Claims, Credentialing, Compliance, and Network Management to ensure smooth operations related to provider services, contracting, and data management.
Generate reports related to provider inquiries, contract statuses, and data accuracy as needed.
The Provider Service Representative (PSR) plays a critical role in managing relationships with healthcare providers, ensuring smooth onboarding and contracting processes, and overseeing the accuracy of provider data within the system. This position is responsible for providing high-quality service to providers, resolving inquiries, facilitating contracting agreements, and maintaining up-to-date provider information in databases.
Key Responsibilities :
Serve as the primary point of contact for healthcare providers responding to inquiries and resolving issues related to contract, rates and escalations.
Coordinate the contracting process for new and existing providers, including drafting and reviewing contracts, ensuring compliance with all regulatory and network requirements.
Ensure the accuracy and integrity of provider data within the system, including demographic details, specialties, affiliations, and contract terms.
Collaborate with internal teams such as Claims, Credentialing, Compliance, and Network Management to ensure smooth operations related to provider services, contracting, and data management.
Generate reports related to provider inquiries, contract statuses, and data accuracy as needed.
Bachelor or higher degree is required;
3+ years of experience in provider services, healthcare operations, or related field required.
Strong communication and interpersonal skills to effectively engage with providers.
Ability to work independently and as part of a team in a fast-paced environment.
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