Provider Relations Representative

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

📋 Description

• Act as the main point of contact for designated healthcare providers.

• Carry out provider interactions and executive-level check-ins/QBRs as required.

• Monitor provider sentiment and satisfaction, implementing action plans accordingly.

• Record interactions, decisions, and follow-ups using CRM/case management tools.

• Oversee the complete provider onboarding process, including welcome materials, portal registration, EFT setup, credentialing transfers, and directory validation.

• Track onboarding milestones, eliminate obstacles, and communicate status updates and next steps.

• Provide training for providers through webinars, welcome packets, and job aids.

• Keep FAQs, guides, and reference materials up to date.

• Address and triage escalated issues related to claims, credentialing, EFT, enrollment, and portal access.

• Conduct root-cause analyses and monitor corrective actions until completion.

• Advocate for portal features and self-service workflows while assisting with registration, user management, navigation, and troubleshooting.

• Enhance EFT adoption and coordinate the verification and updates of banking/EFT information.

• Collaborate with teams in Provider Data, Credentialing, Contracting, Claims, Finance, Clinical Operations, Communications, and IT.

• Represent provider needs in workgroups and report measurable results.

• Maintain dashboards and logs tracking satisfaction, first-contact resolution, onboarding efficiency, case aging, portal adoption, and SLA compliance.

• Analyze trends and contribute to ongoing improvement initiatives.

• Ensure compliance with policy, regulatory, privacy, security, and audit-ready documentation standards.

⛳️ Requirements

• A minimum of 3 years of relevant experience.

• Proficiency in business operations, data ingestion, problem-solving, and reporting management.

• No certifications are necessary.

• Security clearance is not required.

• US citizenship is not a prerequisite.

• Capability to support provider onboarding, education, issue resolution, relationship management, and engagement.

• Familiarity with CRM/case management tools.

• Ability to collaborate across functions including provider data, credentialing, contracting, claims, finance, clinical operations, communications, and IT.

• Skill in maintaining audit-ready documentation and safeguarding provider information.

• Willingness to work 40 scheduled hours each week.

• Travel requirement of less than 10%.

🏝️ Benefits

• Options for medical plans, some including Health Savings Accounts.

• Choices for dental plans.

• Vision plan availability.

• 401(k) plan with pre-tax and post-tax contributions along with company matching.

• Flexibility for full work weeks where feasible.

• Leave options including vacation, sick, personal, holiday, paid parental, military, bereavement, and jury duty leave.

• Typically, 15 days of paid leave are offered per calendar year.

• 10 paid holidays each year.

• Eligible employees can receive up to 160 hours of paid family leave within a rolling 12-month period.

• Benefits for short- and long-term disability.

• Life insurance coverage.

• Insurance for accidental death and dismemberment.

• Coverage for personal accidents.

• Insurance for critical illnesses.

• Business travel and accident insurance.

• Opportunities for remote work.