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Provider Relations Representative  ,   Posted: 7/18/2022
Job Description

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Provider Relations Representative 

Affiliated Professional Services is looking for creative and motivated problem solvers who will prepare and submit enrollment applications, maintain active physician credentials, and follow up on the status of applications for physicians and payers. Your efforts will help APS meet our objectives of partnering with providers and long-term care facilities nationwide for technology and provider services. If you are looking for a company that is focused on being the best in the industry and love being challenged and make a direct impact on our business, then look no further!  We are adding to our motivated team that pride themselves on their strong critical thinking skills, dedication, team focused mentality, and our 'can-do/go-getter' attitude. 

What You Will Do 

  • Complete enrollment/credentialing and re-credentialing applications 

  • Maintain a detailed log of all pending and completed work   

  • Communicate the results and status of the applications to physicians, payers, managers, and co-workers. 

  • Maintenance of physician enrollment and CAQH profiles 

  • Documentation within enrollment database 

  • Coordinate signatures 

  • Payer processing and research 

  • Involves extensive phone work and internet. 

  • Research and resolve claim issues related to physician enrollment. 


What it takes to join the family 

  • Experience in the medical billing field and/or healthcare provider relations 

  • Prior Enrollment or Credentialing experience is preferred. 

  • College degree or degree in process preferred.  

  • Proven customer service, client relations, and claims resolutions experience  

  • Professional demeanor with a self-starter attitude 

  • Ability to work independently as well as in a team environment. 

  • Proficiency in Microsoft Office Suite 

  • Strong written and verbal communication skills with customer service focused aptitude 

  • Detail-oriented individuals who are team players and highly self-motivated. 

  • Ability to multitask in fast paced environments. 

  • Strong reporting expertise with ability to provide status report and escalation where necessary. 

  • Sharing our core belief system of Honesty, Candor and Trust is table stakes for joining the family 


Why APS? 

  • Be part of something special-we are in high growth mode through organic growth and acquisition 

  • Robust ongoing training and development programs 

  • Standard medical benefits, 401(k) plan, Paid Time off to enjoy your time away from the office 

Assembly requires employees working from home, or otherwise remote, maintain broadband internet access of at least 10Mb up/down at the address where remote work is being performed. Assembly will require a valid speed test report. If you are unable to meet these requirements, please discuss with your recruiter.

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