Provider Relations Specialist
Published on www.foundit.in 09 May 2025
Roles and Responsibilities
- Initiate and assist the Manager in the new and renewal contracts of prospective and accredited providers (hospitals, clinics, doctors) and in conducting provider-relations visits to existing providers, particularly those with difficult doctors, and visiting hospitals during times of suspension.
- Data encoding and gatekeeping of Providers and Physician data in the system.
- Educate providers on administrative policies and procedures.
- Provide assistance to the internal team on a case-by-case basis.
- Prepare and release warning letters, memoranda, and other similar communications to Providers and Physicians, if necessary.
- Collate and organize reports of the team for submission to Immediate Heads.
- Take charge in case the Immediate Head is on leave or attending business meetings outside the company.
- Help facilitate the resolution of provider-related concerns/complaints.
Qualifications
- College Graduate (BS Nursing, Psychology, etc.)
- With at least 3 years' experience on the same role (Healthcare)
- Proficient in the use of Microsoft Office tools
- With excellent attention to detail, organizational savvy, and results oriented