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Provider Relations Specialist

Company: VirtualVocations
Location: Orange
Posted on: February 19, 2025

Job Description:

A company is looking for a Provider Relations Representative to educate providers and members about plan designs and address inquiries related to reimbursement and network access.



Key Responsibilities

Facilitate inquiries from providers regarding reimbursement rates
Negotiate ongoing and single case agreements (SCAs)
Direct members to in-network or RBP accepting providers


Required Qualifications

1+ years of experience in customer service
Experience working independently and completing assignments within given instructions
Ability to work in a fast-paced, customer-focused, and deadline-driven environment
Experience working in a healthcare environment with providers is a plus

Keywords: VirtualVocations, Orange , Provider Relations Specialist, Other , Orange, California

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