Hospital Relations Representative

Are you passionate about providing exceptional customer service and eager to make a difference in the healthcare industry? Join our team as a Hospital Relations Representative! In this role you will support the Hospital Relations Manager by onboarding providers and addressing inquiries. You will also collaborate with various departments to ensure smooth operations and identify best practices.

$30.71 - $38.41 Hourly

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