HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Are you an experienced Provider Relations Specialist looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Daily Responsibilities:  

• Perform duties to act as a liaison between providers, the health plan and corporate including investigating and resolving provider claims issues. Perform training, orientation and coaching for performance improvement within physician practices.

• Serve as primary contact for providers serving as a liaison between the provider and the health plan

• Conduct monthly meetings with the providers documenting discussions, issues, attendees, and action items researching claims issues on-site and routing to the appropriate party for resolution

• Receive and respond to external provider related issues

• Initiate entry or change of provider related database information

• Recommend changes in pricing subsystems

• Author change requests and oversee through testing and completion.

• Investigate and communicate provider changes

• Educate providers regarding policies and procedures related to referrals and claims submission; web site education, EDI solicitation and problem solving (liaison responsibilities)

• Perform Provider orientations (includes writing/updating orientation material when necessary)

Hours for this Position:

• Monday-Friday; 8AM-5PM

• Pay rate: $23 per hour

Advantages of this Opportunity: 

• Competitive salary, negotiable based on relevant experience

• Benefits offered, Medical, Dental, and Vision

• High school diploma or equivalent

• Bachelor’s degree in healthcare related field preferred.

• 3+ years of sales, provider relations, or contracting experience

• Knowledge of health care, managed care, Medicare or Medicaid * At least one year in healthcare setting

• Must have Claims billing/coding experience

Interested in being considered? 

If you are interested in applying to this position, please contact (Katleen Angala, 321-445-8243) and click the Green I’m Interested Button to email your resume.