Provider Relations Representative

Accurate Personnel; Houston (TX); On-site; USD 41,000 - 42,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Job summary

Accurate Personnel is seeking a Provider Relations Representative in Houston to assist healthcare providers with inquiries, education, and issue resolution, ensuring a positive provider experience through professional communication.

This full-time role offers $19.69/hour with a comprehensive benefits package (medical, dental, vision) and opportunities to grow within a dynamic healthcare environment; familiarity with QNXT and CACTUS is a plus. Located in Houston, Texas.

Qualifications

• Experience in provider relations, healthcare, customer service preferred.
• Strong verbal and written communication skills.
• Excellent problem-solving skills and attention to detail.
• Ability to manage multiple priorities and work independently.
• Proficiency with Microsoft Office and learning healthcare management systems.
• Strong interpersonal skills and commitment to customer service.
• Ability to work in an office environment and perform computer-based work.

Responsibilities

• Resolve provider inquiries related to claims, authorizations, contracts, eligibility, and participation.
• Investigate and resolve provider and member concerns while documenting all interactions.
• Educate new and existing providers on policies, procedures, and provider portal resources.
• Respond to provider support requests and identify ongoing educational opportunities.
• Maintain knowledge of provider systems, including QNXT and CACTUS.
• Communicate professionally with providers, leadership, and internal departments.
• Support departmental goals, process improvements, and other assigned projects.

Skills

Communication skills

Attention to detail

Multi-priority management

Problem solving

Microsoft Office

Healthcare systems knowledge

Provider relations experience

Tools

QNXT

CACTUS

Job description

HIRING IMMEDIATELY: PROVIDER RELATIONS REPRESENTATIVE IN HOUSTON, TX

Accurate Personnel is hiring immediately for a Provider Relations Representative to join our team in Houston, Texas. This individual will be responsible for supporting healthcare providers by resolving inquiries, providing education, and ensuring a positive provider experience through effective communication and issue resolution. The ideal candidate will have excellent communication skills, strong attention to detail, and the ability to manage multiple priorities in a fast-paced environment.

Pay, Schedule, and Location

• $19.69/hour
• Excellent benefits package, including medical, dental, and vision
• Full-time
• Located in Houston, Texas

Duties and Responsibilities

• Resolve provider inquiries related to claims, authorizations, contracts, eligibility, and participation.
• Investigate and resolve provider and member concerns while documenting all interactions.
• Educate new and existing providers on policies, procedures, and provider portal resources.
• Respond to provider support requests and identify ongoing educational opportunities.
• Maintain knowledge of provider systems, including QNXT and CACTUS.
• Communicate professionally with providers, leadership, and internal departments.
• Support departmental goals, process improvements, and other assigned projects.

Requirements and Qualifications

• Previous experience in provider relations, healthcare, customer service, or a related field preferred.
• Strong verbal and written communication skills.
• Excellent problem-solving skills and attention to detail.
• Ability to manage multiple priorities and work independently.
• Proficiency with Microsoft Office and the ability to learn healthcare management systems.
• Strong interpersonal skills with a commitment to exceptional customer service.
• Ability to work in an office environment and perform computer-based work for extended periods.

(Salary range based on experience)

Accurate Personnel provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.