Provider Relations Representative

Job Summary

A company is looking for a Provider Relations Representative I to join their Provider Relations department.

Key Responsibilities

• Respond to and resolve practitioner inquiries regarding credentialing, re-credentialing, and contractual issues
• Perform credentialing and re-credentialing activities and maintain confidentiality of practitioner files
• Handle administrative tasks to support and document practitioner inquiries effectively

Required Qualifications

• High School Diploma or GED certificate required
• 2 years of progressive customer service experience preferred
• Experience in specialty health care or credentialing preferred
• Proficient in MS Office applications
• General understanding of Provider Relations Guidelines