Sentara Health is seeking to hire a qualified individual to join our team as a Provider Relations Representative.

Position Status: Full-time, day shift

Position Location: Must visit provider groups and meetings at least twice a month in designated area. The rest of the time - work from home. Hiring for Northern Virginia, Richmond, OR Hampton Roads area.

Standard Working Hours: Monday - Friday, 8:00AM - 5:00PM

Overview

Responsible for developing and maintaining positive relationships with providers. Duties include, but are not limited to; periodic on-site visits, conducting provider seminars, communicating administrative changes, and facilitating resolution of non-routine claim issues and other billing questions. Coordinates and conducts provider training and develops and distributes provider network materials. Acts as a liaison between internal departments of Sentara Health Plans and the provider community

Education

High school diploma or equivalent required

Certification/Licensure

No specific certification or licensure requirements

Experience

Healthcare experience - 3 years required

Health insurance plans - 3 years required

Experience with managing complex providers

Preferred experience Medicare, Medicaid, and commercial insurance

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$40,497.60-$67,496.00. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.