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Provider Relations Representative

Company Name:
Presence Health
We seek individuals who will thrive in a high-energy and collaborative environment. If you take pride in your work, are HIGH-PERFORMING, and seek to work in a true team environment where everyones top priority is delivering quality patient care, this is the position for you.
The Provider Relations Representative is responsible for the education of providers regarding PHP policies and procedures, resolving provider issues and coordinating provider relations communications. This position covers Joliet Region.
Duties & Responsibilities:
Orientation and education of physicians, office staff, billing services, and hospital personnel regarding PHP policies & procedures.
Work closely with member services, claims, and medical management departments to identify the providers who require education on claims submission, capitation, billing, referral authorization, and credentialing.
Recruit physicians to participate in PHP risk and non-risk plans as identified by senior leadership.
Engage selected physicians for participation in the Clinical Integration (CI) Program.
Requirements:
1-3 years' experience in provider relations is required.
Bachelor's degree is required.
Must be well-organized, detail oriented, and an independent thinker.
Proficient in Microsoft Office products (Excel, Word, and PowerPoint).
Please apply at: http://careers.presencehealth.org/jobDescription.cfm?jobId=10030504

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