Provider Relations Coordinator Jobs in Raleigh at Centene Corporation
Title: Provider Relations Coordinator
Company: Centene Corporation
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position PurposePerform 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
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
Complete internal directory audits
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)
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules and dress flexibility
Paid Time Off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development
High school diploma or equivalent. Associate’s degree in related field preferred.
2+ years of managed care/Medicaid customer service experience or 1+ years of related administrative support experience.
Experience with Microsoft Excel and Access applications.
Knowledge in credentialing and contracting preferred.
2+ years of managed care/Medicaid provider relations, sales, or contracting experience highly 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.
Sales and Business Development
Insurance and Hospitals and Health Care