Hospital Relations Representative

What We Provide

• Referral bonus opportunities
• Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities.

What You Will Do

• Support the Hospital Relations Manager by onboarding providers and addressing inquiries.
• Collaborate with various departments to ensure smooth operations and identify best practices.
• Maintain effective relationships with customers, team members, and management while ensuring a high level of service.
• Manage revenue cycle processes and understand reimbursement policies (DRG, APG).
• Tackle escalated issues within hospital systems with professionalism and efficiency.
• Engage in fieldwork as necessary while primarily working in a hybrid setting (home or office).
• Manages all provider contracts in designated territory, including recruitment, credentialing, recredentialing and relationship maintenance through regular visits and ongoing contact with existing and potential providers.
• Prepares materials for and orient providers to contract terms and operating requirements, Health Plan program and eligibility requirements, and service coordination.
• Collaborates with the Network Development and Contracting and Service Operations departments to administer demographic changes and renewals to provider contracts.

Licenses and Certifications:

• Driver's license required

Education:

• Bachelor's Degree or equivalent work experience in a health care setting required

Work Experience:

• Strong interpersonal skills, with the ability to communicate effectively in writing and presentations.
• Experience in revenue cycle management and familiarity with hospital systems required
• Reliable transportation to work sites required
• Minimum three years health care experience required
• Knowledge of government programs, including Medicare and Medicaid preferred
• Minimum of three years of experience in hospital relations required