Provider Relations Coordinator

Job Summary

A company is looking for a Provider Relations Coordinator to join their team.

Key Responsibilities

• Initiate outreach to providers and track responses to assess geographical coverage
• Collaborate with the enrollment team to ensure timely completion of enrollment documents
• Handle provider inquiries, grievances, and appeals related to claims payments

Required Qualifications

• High school diploma or equivalent (bachelor's degree preferred)
• 2+ years of provider-facing experience in healthcare
• Working knowledge of medical coding and claims fundamentals
• Basic familiarity with Medicare/Medicaid payment rules
• Proficiency with Microsoft Office and accurate data entry