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Providers Relations Representative

Providers Relations Representative

Zolon Tech Inc.Owings Mills, MD, United States
17 hours ago
Job type
  • Full-time
Job description

Job Description :

  • REMOTE Ocassional visit to the office (monthly once or twice)
  • Supports providers through communication, education, and issue / dispute resolution.
  • Focus on triaging provider concerns, particularly where no rep is assigned.
  • Must manage both inbound / outbound calls and emails
  • Key Responsibilities :
  • Build and maintain professional relationships with healthcare providers.
  • Address provider issues related to claims, credentialing, authorization, or system setup.
  • Facilitate education via training webinars and live provider sessions.
  • Collaborate cross-functionally (Claims, Credentialing, Authorization).
  • Participate in small-scale projects (e.g., STARs, HEDIS, CAPS outreach).
  • Manage and document issue resolution processes; provide follow-up and reports.

Requirements / Must-Haves :

  • 3+ years experience in healthcare or provider relations, ideally within payers or provider offices.
  • Strong experience of claims processing, billing, and healthcare workflows.
  • Excellent communication (verbal / written) and presentation skills.
  • Ability to work professionally with all levels — from office managers to medical directors.
  • Excel proficiency : filtering, sorting, reviewing spreadsheets (used multiple times weekly).
  • Daily tools : Microsoft Office (Excel, Teams, Outlook)
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    Provider • Owings Mills, MD, United States

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