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Provider Relations Representative II

Company: Centene Coproration
Location: Knoxville
Posted on: February 15, 2020

Job Description:

Description: Position Purpose: This position interacts with health care providers and their office staff via phone, email, and in person. This individual provides information to providers with regards to Program and specifically Provider Network Operations and serves as the key provider education mechanism. Demonstrates regular, reliable and predictable attendance. Investigate, resolve and communicate provider claim issues and changes Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics Answers phones and researches inquiries. Makes outbound calls and conducts surveys. Researches, documents and updates database. Provides telephonic provider education to new providers. Answers web/email inquiries and correspondence from providers. Performs other duties as assigned. Works with providers to create and modify customer support training program materials and briefing presentations to reflect specific needs. Maintains event attendance records, compiles and submits required reports, and maintains appropriate educational and briefing materials to support required events. Interfaces, coordinates and maintains calendar and schedules of required events with military customers in the assigned Market. The Provider Relations Representative II keeps up-to-date on program changes to ensure briefing content is current and complete. Daytime travel.

Keywords: Centene Coproration, Knoxville , Provider Relations Representative II, Other , Knoxville, Tennessee

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