Provider Relations Representative

Provider Relations · Maricopa County, Arizona
Department Provider Relations
Employment Type Full-Time
Minimum Experience Mid-level

Job Description:

The Provider Relations Representative (PRR) is a critical position to the overall success of our company. New and established participating providers affiliated with USHS value great respect, service, communication, problem solving and assistance. The duties of a PRR includes consistent maintenance through telephonic, face-to-face, and written communication. It is vital to establish and retain positive and successful relationships with the participating provider network. The PRR will possess excellent relationship building skills. The position requires someone with an outgoing personality, attention to detail, and firm understanding of the health care delivery system. The PRR will maintain a collaborative, advising, and attentive attitude always. The PRR will represent USHS with professionalism in behavior and dress.

 

The Company:

This role is with US Health Systems, an Arkos Health Company. Arkos serves health plans and provider organizations an integrated system-of-care comprised of clinical and social services backed by a robust technology platform. By engaging individuals with virtual, in-home, in-clinic and in-facility care options, Arkos Health delivers advanced community-based health services that allow our clients to live healthier, more independent lives.


All Employee MUST be fully COVID-19 Vaccinated.

 

Essential Duties and Responsibilities:

  • Develop and maintain provider relationships and serve as a primary resource for information and problem solving between USHS and the provider network by maintaining a regular schedule of physician office visits.
  • Dutifully ensure open lines of communication between USHS and the provider network to address concerns, answer questions, and apprise offices of quality care metrics.
  • Respond to incoming phone calls and emails promptly.
  • Investigate and resolve administrative issues and concerns between USHS, provider network and health plans.
  • Travel to local provider offices and events. There will be significant travel in your personal vehicle. Mileage reimbursement will be provided based upon USHS policy.

 

Qualifications/Skills:

  • Associates degree or relevant equivalent experience.
  • Prior experience with provider networks and contracting with physicians.
  • Preferred knowledge of CPT, ICD, HCPCS, HCC coding; training may be available for the right candidate.
  • Knowledge of HMO, PPO, Medicare Risk and Indemnity products preferred; Accuracy and detail orientation (written and verbal).
  • Must be able to interact with healthcare professionals.
  • Proficient in office equipment (computers, printers, etc) and MS Office programs (Word, Excel, PowerPoint and Access).
  • Current unrestricted Arizona Driver’s license, reliable transportation and proof of insurance required.


Location: 

This territory is Maricopa County, AZ. This employee will need to be willing and able to drive their own person vehicle within the Maricopa territory as well as to our Tempe, AZ office two (2) days a week.


Benefits:

  • Fully paid employee medical/dental/vision/life/short term disability
  • Employer matching 401(k)
  • 15 days annual combined sick/PTO with 9 paid holidays


Pay: $50,000.00 - $56,000.00 per year

 

Must complete our Culture Index Survey. Take the assessment at https://portal.cultureindex.com/public/survey/general/bg3VS0H2kF.  This is not a pass/fail test and does not measure intelligence.

 

Arkos Health EEO Statement

All Arkos Health divisions are Equal Opportunity Employers. We do not discriminate on the basis of race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status or any other status protected under federal, state or local laws.

 

Arkos Health is a drug free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.

Thank You

Your application was submitted successfully.

  • Location
    Maricopa County, Arizona
  • Department
    Provider Relations
  • Employment Type
    Full-Time
  • Minimum Experience
    Mid-level