Telecommuting Senior Provider Relations Advocate in Central Pennsylvania

Job ID: Available for Members

Location: Pennsylvania

Compensation: To Be Discussed

Staff Reviewed: Thu, Aug 09, 2018

Job Category: Healthcare, Project Management

Telecommute Level: Occasionally

Travel Requirements: Field Travel Required, Some Travel

Weekly Hours: Day Shift, Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Additional Information: Benefits Available

Job Summary

An American healthcare company is filling a position for a Telecommuting Senior Provider Relations Advocate in Central Pennsylvania.

Individual must be able to fulfill the following responsibilities:

  • Assist in end-to-end provider claims and help enhance call quality
  • Assist in efforts to enhance ease of use of physician portal and future services enhancements
  • Identify gaps in network composition and services

Applicants must meet the following qualifications:

  • Up to 50% local travel to Central PA for provider visits required
  • 2 years of provider relations and/or provider network experience
  • 4 years of health care/managed care experience
  • 1 years experience with Medicare and Medicaid regulations
  • Intermediate level of proficiency in claims processing and issue resolution
  • Proficiency with MS Word, Excel, PowerPoint