Job Discription
Job Summary: The Payor/Provider Relations Specialist serves as the liaison between the clinic providers/offices and insurance companies to ensure providers are properly established with insurance companies. He/she is also responsible for managing relationships with payers and will provide overall management of the regional contract inventory. This includes maintaining a shared database with key contract terms, providing accurate and thorough information regarding fee schedules and implementation, products and product changes and contract measures and metrics. Additionally, you will be responsible for the resolution of questions or concerns from/to payers as well as for internal constituents through operations support and submission of provider credentialing/re-credentialing applications.
Responsibilities:
Qualifications:
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