Provider Relations Representative at Valenz Health | Torre
Provider Relations Representative
Report
Valenz Health

Provider Relations Representative

Valenz Health
Emma
Emma
You'll elevate healthcare experiences by building trust and ensuring smarter, better, faster solutions.
Emma highlights
This highlight was written by Emma’s AI. Ask Emma to edit it.
Full-time

Legal agreement: Employment

Provide your expected compensation while applying
location_on
Remote (for United States residents)
Match
skeleton-gauges
You have opted out of job matches in .
To undo this, go to the 'Skills and Interests' section of your preferences.
Review preferences
Posted 5 months ago

Requirements and responsibilities

About Our OpportunityAs a Provider Relations Representative, you will educate providers and members about specific plan designs while also addressing their inquiries related to reimbursement, appeals, and network access. To be successful in this role, you will have a passion for customer care—or customer love as we say!Things You’ll Do Here: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.What You’ll Bring to the Team: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.A plus if you have:Experience working in healthcare environment with providers.Where You’ll Work:This is a fully remote position, and we will provide all the necessary equipment.Work Environment: You will need a quiet workspace that is free from distractions.Technology: Reliable internet connection, if you can use streaming services you are good to go.Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company approved devices and software.Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA.Why Youll Love Working HereValenz is proud to be recognized by Inc. 5000 as one of America’s fastest growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you will find an engaged culture – one that stands strong, vigorous, and healthy in all we do.BenefitsGenerously 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 DCFSA401K with company match and immediate vestingFlexible working environmentGenerous Paid Time Off to include vacation, sick leave, and paid holidaysEmployee Assistance Program that includes professional counseling, referrals, and additional servicesPaid maternity and paternity leavePet insuranceEmployee discounts on phone plans, car rentals and computersCommunity giveback opportunities, including paid time off for philanthropic endeavors
This job opening is closed.
Optionally, you can add more information later (benefits, pre-screening questions, etc.)

Thank you

Thank you

check_circle

Payment confirmed

Torre Hunt

Torre Hunt

A member of the Torre team will contact you shortly

In the meantime, continue adding information to your job opening.