Provider Relations Representative
Pulse Staffing is currently seeking experienced provider relations representatives for a busy hospital in the Bellaire area of Houston, TX. There are 5 available positions.
Position is responsible for:
Develops, updates and maintains written and online tools for provider education and support
Identifies resources available internally and externally for education and future communications
Creates and leads individual and group formal and informal trainings
Coordinates with appropriate personnel on issues identified and creates material accordingly. System and provider updates
Analyzing and validating provider information from multiple sources
Audits provider changes to ensure changes are complete and accurate.
Ensure ongoing relationships with specified providers or provider types including audits and reviews and report preparation
Reviews request for provider portal access for HIPAA need, security set up and coordinates changes to security with other departments prior to granting access.
Reviews with provider office the roles and responsibility of the site administrator
Documents all provider transactions in system for regulatory compliance.
Develop relationships and standards with specified providers or provider types including audits and reviews and report presentation
The department is looking for employees with these skills: Contract Specialist, Multitasker, Critical Thinker, Organizational and Great Communication Skills
Knowledge of the managed healthcare environment.
Knowledge of Cactus and Unix softwares
H.S. Diploma or GED- Required
5 years health care administration or managed care experience- Required (A Bachelor s degree in business administration, health education or related field may substitute for four years of the health care administration or managed care experience)