Provider Relations Representative
Provider Relations Representative Temporary Position
Who are we?
Versant Health is one of the nation's leading administrators of managed vision care, serving over 35 million of our clients' members across the United States. Our purpose is to make healthy vision a reality for everyone by improving access to care and education in the communities we serve. Fueled by our mission to improve members' lives with easy-to-use vision solutions rooted in choice value, and care, we believe that everyone has the power to become anything they set their sights on.
See how you can make a difference with the support of strong leadership and a team environment.
Versant Health: Making Healthy Vision a Reality for Everyone
What are we looking for?
The Provider Relations Representative is an experienced customer service professional with excellent interpersonal, verbal, and written communication skills. The Provider Relations Representative serves as the first point of contact for Versant's provider network. This individual will have the skill set to analyze and problem solve any claims-related issues and make system updates to provider demographic information as needed. This individual must have excellent organizational skills and be able to multi-task. The Provider Relations Representative will assist the Provider Relations Manager with network recruitment activities and provider network updates. He or she will prepare documents for Credentialing, review and monitor provider complaints, grievances, and escalated issues as necessary to the appropriate staff.
Where you will have an impact
- Serve as initial contact and respond to all provider related inquiries with exceptional service and timely responses in a professional and courteous manner
- Resolve and respond to provider claims issues and complaints:
- Identify and correct fee schedule issues
- Submit requests for adjustments to Claims
- Provide education to providers and their office staff regarding processes and changes
- Accurately update systems with changes in provider information
- Process recruitment materials and applications received from providers
- Assist in recruitment projects, network comparisons and data entry
- Initiate improvements to processes and procedures for Provider Relations that support company and departmental standards and strategic directives
- Other duties as assigned
What's necessary to do the job?
- High school diploma or equivalent is required.
- Preferred Associate's Degree
- Three (3) or more years of customer service and administrative experience
- Preferred experience in a managed health care environment, provider relations and/or customer service
- Understanding of vision care insurance is a plus
HIPAA & Security Requirements
All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company's Privacy & Security Training Program.
We offer a comprehensive and competitive total rewards package designed to support your health, financial well-being, and work-life balance. Benefits include medical, dental, and paid vision coverage; paid time off and company holidays; retirement savings with employer contribution; employee wellness resources; and professional development opportunities. Additional benefits may include flexible work arrangements, employee assistance programs, and other programs that support you both at work and beyond.
This role is compensated on an hourly basis. The expected hourly pay range for this position is $20 $21 per hour, based on factors such as experience, skills, and role requirements. Actual pay within the range will be determined during the hiring process and in accordance with applicable wage and hour laws.
Versant Health will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.
Versant Health is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at Versant Health without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.
Our purpose is to make healthy vision a reality for everyone by improving access to care and education in the communities we serve. Fueled by our mission to improve members' lives with easy-to-use vision solutions rooted in choice, value, and care, Versant Health believes that everyone has the power to become anything they set their sights on.
Our team is guided by core Leadership PrinciplesPerspective, Care, Drive, and Ownershipwhich shape how we work, lead, and grow together.
Our Management Team is committed to fostering a strong and supportive culture, cultivating a thriving work environment, providing clear direction, optimizing resources, enabling innovative solutions, and driving meaningful results.
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