Provider Relations Consultant
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Job Description
Provider Relations Consultant assisting healthcare providers and internal teams with issue resolution. Managing provider inquiries and maintaining professional relationships within Idaho healthcare operations.
Responsibilities:
- Support the Regional Provider Relations team by researching, investigating, documenting, and responding to provider and state partner inquiries within established response time standards
- Manage out-of-state and non-bordering Idaho provider concerns, including outreach, education, issue resolution, and follow-up
- Build and maintain professional relationships with healthcare providers, provider offices, associations, state partners, and operational teams
- Assist with the development and delivery of provider education materials through one-on-one support, virtual meetings, workshops, conferences, and group sessions
- Research claims, enrollment, credentialing, billing, compliance, and operational issues while identifying opportunities for workflow and process improvement
Requirements:
- 2+ years of experience in healthcare operations, provider relations, provider services, claims research, provider enrollment, credentialing, medical billing, or healthcare customer support
- Experience working with healthcare providers, state programs, payer operations, provider offices, billing agencies, or healthcare support functions preferred
- Experience researching and resolving provider-related claims, enrollment, billing, credentialing, compliance, or operational inquiries
- Strong 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 skills with proficiency in Microsoft Office and business systems
Benefits:
- Comprehensive benefits package including medical, dental, vision
- 401(k) with company match
- Paid time off
- Company-observed holidays
- Flexible vacation policy
- Educational assistance
- Leadership and technical development academies
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