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Vālenz Health® · 3 weeks ago

Provider Relations Representative

United States

Full-time

Hybrid

Entry Level

1+ years exp

Vālenz Health® is a platform aimed at simplifying healthcare by enhancing quality and reducing costs. As a Provider Relations Representative, you will educate providers and members about plan designs and address inquiries related to reimbursement and network access, ensuring a positive experience throughout the patient journey.

Insurance

Responsibilities

Facilitate inquiries from providers regarding reimbursement rates

Negotiate ongoing and single case agreements (SCAs)

Direct members to in-network or RBP accepting providers

Focus on the member journey and minimizing disruption to providers

Develop trust with members and providers to ensure long-term relationships

Anticipate and identify issues and escalate to the appropriate manager or team leader

Ensure that the best possible solutions are offered by adhering to established rules regarding client rate structures, turn-around-times, and success rates

Facilitate the appeals process

Maintain compliance with company policies and procedures

Performs related duties as assigned by supervisor

Qualification

Customer service experienceVerbal communicationWritten communicationHealthcare experienceNegotiation skills

Required

1+ years of experience in customer service

Experience working independently and completing assignments within given instructions, routines, and accepted practices

Excellent verbal and written communication skills

Ability to work in a fast-paced, customer focused, and deadline-driven environment

Preferred

Experience working in healthcare environment with providers

Benefits

Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card.

Spending account options: HSA, FSA, and DCFSA

401K with company match and immediate vesting

Flexible working environment

Generous Paid Time Off to include vacation, sick leave, and paid holidays

Employee Assistance Program that includes professional counseling, referrals, and additional services

Paid maternity and paternity leave

Pet insurance

Employee discounts on phone plans, car rentals and computers

Community giveback opportunities, including paid time off for philanthropic endeavors

Company

Vālenz Health®

Vālenz Health® is the platform to simplify healthcare – the destination for employers, payers, providers, and members to reduce costs, improve quality, and elevate the healthcare experience.

Founded in 2004

Radnor, PA, US

501-1000 employees