Provider Relations Representative

Cynet Systems Inc; Baltimore (MD); On-site; USD 52,000 - 63,000; Full time

Job summary

A leading company in healthcare services is seeking a dedicated individual for contracting management. The role involves managing inquiries, organizing workflows related to contracts, and maintaining essential documentation for departmental processes. Ideal candidates will possess strong organizational and writing skills, along with a keen interest in the healthcare system.

Qualifications

• Interest in understanding the healthcare industry.
• Understanding of Health benefits.

Responsibilities

• Manage Contracting email boxes and complex inquiries.
• Support and organize contracting related workflows.
• Update and maintain supporting documentation and processes.

Skills

Organizational skills

Effective writing skills

Deadline driven

Sense of urgency

Customer service

Proficiency with Microsoft Office 365

Education

High School Diploma or GED

Job description

Job Description:

Pay Range: $25hr - $30hr

Essential Functions:

• 35% Manage Contracting email boxes.
• Works with the appropriate leader to triage and respond to complex and escalated inquiries from external provider practices or health care entities, as well as internal requests and bring to resolution in a timely manner, or escalate to an accountable party.
• Follows up to ensure resolution and/or assists with tasks to support resolution.
• 30% Supporting and organizing contracting related workflows including but not limited to: Carrying out ad hoc mailings, uploading and printing of contracts, updating fee disclosures, editing/updating templates, gathering documentation for audits or other regulatory requirements, researching returned mail and triaging complaints/inquires.
• 15% Update and maintain supporting documentation, process and standard operating procedures for the department.
• Provides regular updates to management with regard to identified and outstanding issues or trends.
• 10% Maintain in-depth knowledge of insurance plans, product offering and reimbursement models.
• Stays abreast of changes and trends in Health Care.
• 10% Other duties related to provider contracting and networks management as assigned.

Super Skills/Competencies:

• Organizational skills.
• Effective writing skills.
• Deadline driven.
• Sense of urgency.
• Proficiency with Microsoft Office 365 to include proficient and successful utilization of Word, Excel, Outlook and teams.
• Great customer service and follow up skills.

Qualifications:

• Interest in understanding the healthcare industry, health environment, health insurance payer environment.
• Understanding of Health benefits.

Preferred Qualifications:

• A High School Diploma or GED is required.