Provider Relation Representative

ALTA IT Services is staffing a contract opportunity for a Provider Relation Representative to support a leading health insurance customer. The individual performs a variety of administrative functions and coordination in support of the provider contracting process and initiatives. Responsible for responding to complex and escalated contracting inquiries from a variety of network providers and care partners related to Medicare, Medicaid, Commercial contracts. Assists functional teams daily to ensure all requests are handled in a timely and customer focused, professional manner.

Pay: $30/HR
Hybrid- Baltimore, MD
Contract Role

Responsibilities:

• Manage Contracting email boxes. Works with the appropriate leader to triage and respond to complex and escalated inquiries from external provider practices or health care entities, as well as internal requests and bring to resolution in a timely manner, or escalate to an accountable party.
• Follows up to ensure resolution and/or assists with tasks to support resolution.
• Supporting and organizing contracting related workflows including but not limited to: Carrying out ad hoc mailings, uploading and printing of contracts, updating fee disclosures, editing/updating templates, gathering documentation for audits or other regulatory requirements, researching returned mail and triaging complaints/inquires.
• Update and maintain supporting documentation, process and standard operating procedures for the department.
• Provides regular updates to management with regard to identified and outstanding issues or trends.

#M2

Ref: #855-IT Baltimore

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

ALTA IT Services is staffing a contract opportunity for a Provider Relation Representative to support a leading health insurance customer. The individual performs a variety of administrative functions and coordination in support of the provider contracting process and initiatives. Responsible for responding to complex and escalated contracting inquiries from a variety of network providers and care partners related to Medicare, Medicaid, Commercial contracts. Assists functional teams daily to ensure all requests are handled in a timely and customer focused, professional manner.

Pay: $30/HR
Hybrid- Baltimore, MD
Contract Role

Responsibilities:

• Manage Contracting email boxes. Works with the appropriate leader to triage and respond to complex and escalated inquiries from external provider practices or health care entities, as well as internal requests and bring to resolution in a timely manner, or escalate to an accountable party.
• Follows up to ensure resolution and/or assists with tasks to support resolution.
• Supporting and organizing contracting related workflows including but not limited to: Carrying out ad hoc mailings, uploading and printing of contracts, updating fee disclosures, editing/updating templates, gathering documentation for audits or other regulatory requirements, researching returned mail and triaging complaints/inquires.
• Update and maintain supporting documentation, process and standard operating procedures for the department.
• Provides regular updates to management with regard to identified and outstanding issues or trends.

#M2

Ref: #855-IT Baltimore

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.