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Provider Relations Representative II

Company: Cenpatico
Location: Chattanooga
Posted on: February 15, 2020

Job Description:

Provider Relations Representative II USA-Tennessee-Knoxville, USA-Tennessee-Chattanooga Position Purpose: This position interacts with health care providers and their office staff via phone, email, and in person. This individual provides information to providers with regards to Program and specifically Provider Network Operations and serves as the key provider education mechanism. * Demonstrates regular, reliable and predictable attendance. * Investigate, resolve and communicate provider claim issues and changes * Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics * Answers phones and researches inquiries. * Makes outbound calls and conducts surveys. * Researches, documents and updates database. * Provides telephonic provider education to new providers. * Answers web/email inquiries and correspondence from providers. * Performs other duties as assigned. Works with providers to create and modify customer support training program materials and briefing presentations to reflect specific needs. Maintains event attendance records, compiles and submits required reports, and maintains appropriate educational and briefing materials to support required events. Interfaces, coordinates and maintains calendar and schedules of required events with military customers in the assigned Market. The Provider Relations Representative II keeps up-to-date on program changes to ensure briefing content is current and complete. Daytime travel. Education/Experience: * High School Diploma or equivalent required. * One to two years provider relations experience interacting and problem-solving with providers. * One year Call Center experience preferred * Excellent written/verbal communication skills highly preferred * Presentation skills preferred Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Network Development & Contracting Full-time

Keywords: Cenpatico, Chattanooga , Provider Relations Representative II, Other , Chattanooga, Tennessee

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