Provider Relations Consultant

This is a fully remote position, open to applicants in Idaho.

📋 Description

• Assist the Regional Provider Relations team by conducting research, investigating, documenting, and addressing inquiries from providers and state partners within set response timeframes.

• Oversee concerns from out-of-state and non-bordering Idaho providers, which includes outreach, education, issue resolution, and follow-up.

• Establish and nurture professional relationships with healthcare providers, provider offices, associations, state partners, and operational teams.

• Aid in the creation and presentation of provider educational materials through individual support, virtual meetings, workshops, conferences, and group sessions.

• Investigate claims, enrollment, credentialing, billing, compliance, and operational matters while spotting opportunities for workflow and process enhancements.

⛳️ Requirements

• A minimum of 2 years of experience in healthcare operations, provider relations, provider services, claims research, provider enrollment, credentialing, medical billing, or healthcare customer support.

• Preferred experience working with healthcare providers, state programs, payer operations, provider offices, billing agencies, or healthcare support functions.

• Proven experience in researching and resolving inquiries related to provider claims, enrollment, billing, credentialing, compliance, or operational issues.

• Excellent written and verbal communication skills, with the ability to educate, present, and communicate professionally with providers and stakeholders.

• Strong organizational, analytical, time management, technical, and problem-solving abilities, along with proficiency in Microsoft Office and business systems.

🏝️ Benefits

• Comprehensive benefits package that includes medical, dental, and vision coverage.

• 401(k) plan with company matching.

• Paid time off.

• Holidays recognized by the company.

• Flexible vacation policy.

• Educational assistance available.

• Development opportunities through leadership and technical academies.