Job Information
Amergis Provider Relations Representative in Chicago, Illinois
Amergis Staffing is hiring a Provider Relations Representative to support, develop, and maintain service relationships with contracted and non-contracted providers.
Responsibilities:
Accountable for the daily maintenance of provider relationships with all contracted PCP, PCP group, specialist and specialty group providers, hospital, skilled nursing, ancillary, allied health, dental, vision and other contracted groups of health plan.
Responsible for the day-to-day interaction with contracted and non-contracted providers of the health plan.
Develops relationships with non-contracted entities serving health plan members explaining limitations and policies around serving enrolled members of health plan. Arranges for the capture and distribution of monthly/quarterly provider data submission for contracted entities of health plan.\
Responsible for educating new and current providers on health plan policies including provider manual, quick reference guides, provider directory accuracy and payment policy updates
Minimum Requirements:
Bachelor's degree from an accredited college or university (Must provide official transcripts at time of interview)
One (1) years of prior experience in Provider Relations within a healthcare organization or health plan is required
Prior experience working with contracted and non-contracted providers in Medicare, Medicaid. Market Place (i.e., Affordable Care Act), Commercial and/or Medicare Medicaid Alignment Initiative is required
Proficiency with Microsoft Office (i.e., Excel, Word) is required
Must possess a valid driver’s license and insured vehicle or otherwise provide an acceptable and reliable means of transportation is required
Benefits
At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:
Competitive pay & weekly paychecks
Health, dental, vision, and life insurance
401(k) savings plan
Awards and recognition programs
*Benefit eligibility is dependent on employment status.
About Amergis
Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.
Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.