Provider Relations Representative jobs in Louisiana

Provider Relations Representative supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. Typically requires a bachelor's degree. Being a Provider Relations Representative typically reports to a supervisor or manager. The Provider Relations Representative works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Provider Relations Representative typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Provider Relations Advocate - Remote in LA
  • UnitedHealth Group
  • Metairie, LA FULL_TIME
  • For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. 

     

    If you live in in Louisiana, you will have the flexibility to work remotely* as you take on some tough challenges. 

     

    Primary 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
    • Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers, and practice managers
    • Support development and management of provider networks
    • Help implement training and development of external providers through education programs
    • Identify gaps in network composition and services to assist network contracting and development teams

     

    You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:

    • 4 years of health care/managed care experience
    • 2 years of provider relations or provider network experience
    • 1 years of experience in claims processing and issue resolution
    • 1 years of experience with Medicare and Medicaid regulations
    • Intermediate proficiency with MS Word, Excel, PowerPoint, and Access
    • Based in Louisiana
    • Travel up to 20% 

     

    Preferred Qualification:

    • Behavioral Health Provider Relations or network experience

    *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

     

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. 

     

     

    Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

     

    OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

  • 12 Days Ago

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Provider Relations Account Executive I--Thibodeaux, Louisiana
  • AmeriHealth Caritas
  • Thibodaux, LA FULL_TIME
  • At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations leaders in health care solutions, we offer our associates the op...
  • 10 Days Ago

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Customer Relations Representative
  • Linking Minds
  • Baton Rouge, LA FULL_TIME
  • Are you a dedicated, self-driven individual with a passion for providing outstanding customer support? Do you have a reputation for consistently prioritizing customer satisfaction? If so, we are looki...
  • 7 Days Ago

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Guest Relations Representative
  • Opelousas General Health System
  • Opelousas, LA FULL_TIME
  • Maintains a presence in the Main Admit lobby ensuring that all guests who enter receive personal service and are directed to their destinations. Promotes a positive Guest relations environment as defi...
  • 18 Days Ago

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Customer Relations Representative
  • Oracle Lighting
  • Metairie, LA FULL_TIME
  • Join the Fastest Growing Company in New Orleans! ORACLE Lighting is Hiring a Customer Relations Representative! At ORACLE Lighting, we're not just a company; we're a community of passionate individual...
  • 19 Days Ago

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Customer Relations Representative
  • LMI Baton Rouge
  • Baton Rouge, LA FULL_TIME
  • Are you a dedicated, self-driven individual with a passion for providing outstanding customer support? Do you have a reputation for consistently prioritizing customer satisfaction? If so, we are looki...
  • 24 Days Ago

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Provider Relations Representative
  • American Health Partners
  • Sparta, GA
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 6/11/2024 12:00:00 AM

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Provider Relations Representative (Bilingual Chinese)
  • Clever Care Health Plan
  • Arcadia, CA
  • Wage Range: $24.00/hr - $28.00/hr Job Summary This position serves as an integral member of the Provider Relations and C...
  • 6/11/2024 12:00:00 AM

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Provider Relations Representative
  • American Health Plans
  • Milledgeville, GA
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 6/10/2024 12:00:00 AM

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Provider Relations Representative
  • Arkos Health
  • Gilbert, AZ
  • This is an in-office position with minimal travel in the field. Our Organization: Welcome to Arkos Health! We are a valu...
  • 6/10/2024 12:00:00 AM

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Provider Relations Representative - Oxnard, CA
  • UnitedHealth Group
  • Oxnard, CA
  • Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. ...
  • 6/10/2024 12:00:00 AM

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Provider Relations Representative
  • Phoebe Physicians
  • Albany, GA
  • Description JOB SUMMARY Serves as a liaison between PHP providers and the organization to meet provider network services...
  • 6/8/2024 12:00:00 AM

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Provider Relations Representative
  • Volunteers of America National Services
  • Eden Prairie, MN
  • Volunteers of America National Services- PACE is seeking a Provider Relations Representative to service our Colorado Ser...
  • 6/8/2024 12:00:00 AM

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Provider Relations Representative
  • American Health Plans
  • Boise, ID
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 6/7/2024 12:00:00 AM

Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico. The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast. The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$51,170 to $65,467