Provider Relations Rep I

Our client and local Healthcare Provider is looking for Provider Relations Representative to work independently to serve as the liaison and maintain open communication between the client and the providers of healthcare services regarding company policies and payment procedures. Train and educate providers on the clients fee-for-service and value-based contracts as well as the requirements and procedures associated with the contracts. Heavy travel schedule required.

Provider Relations Rep I

We are looking for a Provider Relations Rep with:

• Experience: 4 years’ provider service or health industry experience
• Education: High School or equivalent

Provider Relations Rep II

• Experience: 8 years’ provider service or health industry experience
• Education: High School or equivalent

What Your Day May Look Like

• Coordinates the resolution of provider contracts, agreements, fee schedules, and payment problems.
• Collaborates with key stakeholders to identify and resolve issues.
• Coordinate’s resolution of contract or agreement issues. Communicates critical issues and provides recommendations to leaders.
• Educates providers on policies, procedures, practices, and data integrity. Ensures providers are informed on changes/updates to policies, procedures, and practices.
• Ensures department and provider compliance with regulatory agencies.
• Coordinates cross departmental activities and projects to support and adhere to the provider contract requirements.
• Performs research to respond to inquiries and interprets policy and procedures to determine effective response.
• Provides welcome information to newly contracted providers.
• Promotes provider participation in on-line tools and programs available.
• Performs other duties and responsibilities as assigned

Work Schedule: Monday – Friday. 8am – 5pm. Onsite.

Dexian is a leading provider of staffing, IT, and workforce solutions with over 12,000 employees and 70 locations worldwide. As one of the largest IT staffing companies and the 2nd largest minority-owned staffing company in the U.S., Dexian was formed in 2023 through the merger of DISYS and Signature Consultants. Combining the best elements of its core companies, Dexian’s platform connects talent, technology, and organizations to produce game-changing results that help everyone achieve their ambitions and goals.

Dexian’s brands include Dexian DISYS, Dexian Signature Consultants, Dexian Government Solutions, Dexian Talent Development and Dexian IT Solutions. Visit https://dexian.com/ to learn more.

Dexian is an Equal Opportunity Employer that recruits and hires qualified candidates without regard to race, religion, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.