Provider Relations Specialist

Job Summary

A company is looking for a Provider Relations Solution Specialist to manage complex dental and vision claims and support provider credentialing efforts.

Key Responsibilities

• Investigate and resolve complex dental and vision claims by collaborating with payers, providers, and internal teams
• Assist in the collection and verification of credentialing documentation from providers and facilities
• Maintain accurate documentation of claim activity and ensure timely follow-up on outstanding credentialing items

Required Qualifications

• 2+ years of experience in dental or vision claims resolution, medical billing, or provider credentialing support
• High School Diploma or equivalent
• 2+ years of experience in document management, technical writing, or provider relations
• 1+ years of experience with Microsoft Office applications, including data analysis and spreadsheet management
• Familiarity with credentialing platforms and payer portals