Provider Relations Representative - Crestline (Contract Position)

Health Management Associates; United States; Remote; USD 79,213 - 94,882; Full time

Job summary

A healthcare consulting firm is seeking a Provider Relations Representative to work with Health Plan clients to assist Medicare providers. This contract position requires five years of experience in provider relations roles, particularly within managed care settings. The role involves maintaining relationships with providers and assisting with onboarding and inquiries. A monthly fixed fee of $7,800 is offered for this position.

Qualifications

• Five years of experience in provider relations roles within managed care settings.
• Preference for individuals with provider relations experience with Medicare networks in Georgia, Illinois, and/or Colorado.
• Strong understanding of insurance industry terminology, healthcare regulations, and provider-specific processes is required.

Responsibilities

• Develop and maintain positive working relationships with assigned providers.
• Assist with provider onboarding/training/communications.
• Respond to and address provider inquiries/issues.
• Assist with provider data collection/review as requested.

Skills

Excellent communication

Customer service

Interpersonal skills

Organization

Research

Problem-solving

Proficiency with Microsoft Office Suite

Job description

Provider Relations Representative - Crestline (Contract Position)

The Provider Relations Representative works with Crestline’s Health Plan clients to engage with and assist Medicare providers.

Responsibilities

• Develop and maintain positive working relationships with assigned providers;
• Assist with provider onboarding/training/communications;
• Respond to and address provider inquiries/issues;
• Assist with provider data collection/review as requested.

Additional Information

• Full time hours, worked within normal business hours, either Eastern, Central, and/or Mountain time zones.
• This is a consultant position without benefits. Longevity of project is not guaranteed.
• Consultants are onboarded as 1099 and required to pay their own taxes.
• Client will provide the equipment (laptop) necessary to complete the work.

Rate

• Monthly fixed fee of $7,800.00.

References

• Must be available upon request

Qualifications

Required Experience:

• Five years of experience in provider relations roles within managed care settings.
• Preference for individuals with provider relations experience with Medicare networks in Georgia, Illinois, and/or Colorado.

Knowledge:

A strong understanding of insurance industry terminology, healthcare regulations, and provider-specific processes is required.

Skills:

• Excellent communication, customer service, and interpersonal skills are essential.
• Strong organizational, research, and problem-solving abilities are also critical.
• Proficiency with office software like Microsoft Office Suite is needed.

EEO

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60‑1.35(c)