Hybrid Provider Relations Rep II — Build Partnerships

Avesis

Philadelphia (Philadelphia County)

Hybrid

USD 46,000 - 90,000

Full time

8 days ago

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Benefits offered by this job

Competitive compensation package
Excellent medical, dental, vision, and
401(k) with company match
Tuition assistance and parental leave
Flexible time off

Job summary

Avesis is seeking a Provider Relations Representative II in Pennsylvania to connect our provider network with education and support resources. You will foster strong relationships, manage inquiries, and help providers navigate eligibility and claims processes.

The role blends field travel with remote coordination to support our network. You will collaborate across departments to improve provider education, address issues, and drive adoption of digital tools, while ensuring compliance and

Qualifications

  • High school diploma or equivalent required.
  • Bachelor's degree preferred; relevant work experience may be considered in lieu of degree.
  • Intermediate level knowledge of Microsoft Office applications, especially Excel, for data analysis and reporting.

Responsibilities

  • Lead provider education initiatives and respond to inquiries to improve the provider experience.
  • Conduct monthly/quarterly meetings with provider groups and document outcomes.
  • Coordinate contracting and credentialing processes with Network Recruitment and Credentialing teams.
  • Maintain accurate records and generate provider directory and claims-related reporting.

Skills

Communication
Relationship building
Problem solving
Travel readiness
Remote adaptability

Education

High School Diploma or equivalent
Bachelor's degree (preferred)

Tools

Microsoft Excel
Microsoft Office

Job description

Avesis is seeking a Provider Relations Representative II in Pennsylvania to connect our provider network with education and support resources. You will foster strong relationships, manage inquiries, and help providers navigate eligibility and claims processes.

The role blends field travel with remote coordination to support our network. You will collaborate across departments to improve provider education, address issues, and drive adoption of digital tools, while ensuring compliance and

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