Provider Relations Specialist

A Healthcare company is seeking a Provider Relations Specialist to support a healthcare team with a high-volume backlog and ongoing provider support needs. The Provider Relations Specialist is ideal for professionals with experience in provider relations, provider enrollment, and healthcare credentialing who can step in quickly, build strong provider partnerships, and help improve operational workflow.

Key Responsibilities:

• Serve as a primary point of contact for providers regarding enrollment, participation, credentialing status, and general support needs.
• Build and maintain positive working relationships with providers and internal departments to support timely issue resolution.
• Assist with provider onboarding, enrollment documentation, and follow-up on outstanding requirements.
• Respond to provider inquiries related to network participation, application status, demographic updates, and required documentation.
• Coordinate with internal teams to resolve provider concerns, discrepancies, and service issues efficiently.
• Maintain accurate provider records and ensure updates are reflected in internal systems and databases.
• Support credentialing and recredentialing processes as needed. Based on general knowledge.
• Help reduce departmental backlog while maintaining strong service levels and attention to detail.
• Ensure activities are completed in alignment with payer requirements, compliance standards, and internal policies.

Benefits: Health, Dental, Vision, 401k, and Sick Time Off.

Qualifications:

Qualifications:

• Prior experience in provider relations, provider enrollment, and/or healthcare credentialing required.
• Ability to hit the ground running with minimal training or supervision.
• Strong understanding of provider support processes, payer enrollment, and credentialing workflows.
• Experience working in a healthcare, behavioral health, medical group, or managed care environment preferred.
• Excellent customer service and relationship management skills.
• Strong written and verbal communication skills.
• High level of organization and attention to detail.
• Proficiency with Microsoft Office and provider data management systems.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

Compensation

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