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Provider Relations Specialist

Northern Mindanao - Mindanao, De Oro - Mindanao
Confidential

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
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