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Provider Relations Coordinator II

Company: Centene
Location: Corpus Christi
Posted on: September 13, 2020

Job Description:

Provider Relations Coordinator II Position Purpose: - Perform day to day duties to assure that provider information system is accurate for state reporting, claims payment, and directories. Act as a liaison between providers, Health Plans and Corporate including investigating and resolving provider issues. - Oversee and coordinate operational and administrative activities associated with provider relations, including provider education and liaison responsibilities, provider database development and administration, marketing and promotion, and facilitation of credentialing and certification - Receive all provider related mail, including address changes, claim reconsiderations, general inquiries and determine completion, accuracy and route accordingly - Assist in the coordination of completing the credentialing application for providers - Receive and respond to external provider related issues - Communicate system provider database changes - Develop and distribute marketing materials, including the mailing of welcome packets to new contracted providers and assist in setting up educational events - Educate providers regarding policies and procedures related to referrals and claims submission; web site education, EDI solicitation and problem solving (liaison responsibilities) Education/Experience: High school diploma or equivalent. 2+ years of sales, provider relations, or contracting experience. Knowledge of health care, managed care or Medicaid. Contract and credentialing experience preferred. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Business Development & Sales USA-Texas-Corpus Christi Superior HealthPlan Full-time

Keywords: Centene, Corpus Christi , Provider Relations Coordinator II, Other , Corpus Christi, Texas

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