Provider Relations Representative
- Job Number: 29495
- Location: Phoebe Health Partners, Inc. - Albany
-
Address:
Albany,GA
- Shift: Day Shift
- Job Type: Full-time
- Posted Date: 5/29/2024
Description
JOB SUMMARY
Qualifications
EDUCATION REQUIREMENTS
JOB SUMMARY
- Serves as a liaison between PHP providers and the organization to meet provider network services needs or to enhance provider relations. Experience with managed care procedures including PPO network operations, coding and compliance, provider billing/registration/authorization procedures, reimbursement methodologies, claims processing, and revenue management required.
Qualifications
EDUCATION REQUIREMENTS
- 2 year / Associate Degree in Healthcare/Marketing/Business (Required)
- 4 year / Bachelor's Degree in Healthcare/Marketing/Business (Preferred) ;In lieu of a Bachelor's Degree; an Associate Degree and a Minimum of 4 years additional relevant experience is acceptable.
- 2 - 3 years Experience with managed care procedures including PPO network operations, coding and compliance, provider billing/registration/authorization procedures, reimbursement methodologies, claims processing, and revenue management (Required)
- No Certifications are Required or Preferred
