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Listed below are the top 10 out of 145 listings that are in the same industry and location as the job you were looking for. To see more than 10 listings, click here to search similar jobs in Chesterfield, MO
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For your reference, we have included the original job posting below.
Provider Relations Specialist I
Job Number:
43310494
Company Name:
Centene
Job Location:
Chesterfield, MO US
Job Category:
Healthcare & Medical
Provider Relations Specialist I
Provider Relations Specialist I
Job Title: Provider Relations Specialist I Job Type: Full-Time Location: Chesterfield, MO
Job Description:
Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims issues. Perform training, orientation and coaching for performance improvement within physician practices.
Knowledge/Experience: College degree in Marketing, Communications, Public Relations or Business or equivalent. Knowledge of health care, managed care, Medicare or Medicaid. 3-5 years experience in Sales or Public Relations preferred. Claims billing/coding knowledge preferred.
Licenses/Certifications: Current state driver's license.
Position Responsibilities: . Serve as primary contact for providers serving as a liaison between the provider and the health plan . Conduct monthly face to face meetings with the providers documenting discussions, issues, attendees, and action items researching claims issues on-site and routing to the appropriate party for resolution . Receive and respond to external provider related issues. . Initiate entry or change of provider related database information. . Recommend changes in pricing subsystems. . Author change requests and oversee through testing and completion. . Investigate and communicate provider changes. . Educate providers regarding policies and procedures related to referrals and claims submission; web site education, EDI solicitation and problem solving (liaison responsibilities) . Perform Provider orientations (includes writing/updating orientation material when necessary) . Must have a good driving record and the ability to travel.
