1 Provider Relations Representative Job in Pearland, TX
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Kelsey-Seybold is Hiring a Provider Relations Representative Near Pearland, TX
Overview
Kelsey-Seybold Clinic, a Houston tradition in patient-centered care, is a multispecialty clinic with over 25 locations and comprises more than 500 physicians providing primary and specialty care in a collaborative manner.
With 55 different clinical and non-clinical specialties, you can design a career path at Kelsey-Seybold Clinic that allows you to grow your future in a completely new direction.
Kelsey-Seybold Clinic is changing the way health cares.
Responsibilities
This position is responsible for provider outreach in support of developing and maintaining positive & professional relationships with currentand potential Kelsey-Seybold and KelseyCare Advantage providers to ensure stable and geographically disperse networks for the Kelsey-Seybold commercial and Medicare Advantage health plans and KS Plan Administrators’ health plan products. Provider relations functionswill include providing education, training, guidance, claims resolution and other duties as assigned.
Qualifications
Provider Relations Representative
Location:Pearland Administrative Office
Department: Network Development
Job Type: Full Time
Salary Range: $58,223.20 to $76,417.95 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)
EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS
(A = basics; B = preferred)
Education
A.
Bachelor’s Degree (1-year experienceequivalent to 1 year of college)B.
5 years’ experience in applicable healthcareadministrative operations.
Experience
A.3 years contract negotiation experience at ahealth plan or medical group.
3-5 years’ experience in provider relations
B.
Demonstrated negotiation skills and ability tointerpret provider contracts.
Licenses
A.Valid Texas Driver’s License and ability to trave
B.
Willingness to engage in local business travelCommunication
Demonstrated knowledge of CPT and ICD-9coding and prior experience withreimbursement methodologies
Proficient with Microsoft Word and Excel
Analytical and problem-solving skills; abilityto communicate effectively in writing andverbally
Ability to work in a fast-paced environment;demonstrated ability to perform multipleconcurrent tasks with minimal supervisionand meet deadlines
Demonstrated public speaking andpresentation skills
B.
Proficient with Access and PowerPoint
Capable of managing a variety of complex issueswhile driving momentum of key projects
Special Skills
B.
Other
A.
B.WORKING ENVIRONMENT
Office
e
Job Summary
Other
07/15/2022
12/12/2022
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