Provider Service Representative

This position has daily interaction with internal departments, as well as conversations with the Provider Network. Frequent travel to Providers’ offices is necessary. It requires initiative and assertiveness when negotiating contracts or letters of agreements. This position will write draft contracts, amendments and letters of agreements. Sound and objective decision making must be exercised when credentialing providers.
Initiate, coordinate, and negotiate contracts with physician providers in an assigned area to assure adequate medical services for HCA members: analyze and evaluate network coverage to identify network needs, review contracts and proposals to determine proper reimbursement, negotiate fees and create contracts, Obtains information from providers to begin the credentialing process.
REQUIREMENTS
2 + years contracting and contract analysis experience2 + years of provider relations or customer service experience with a managed care companyBachelors degree preferedKnowlege of AHCCCS and Medicare preferred