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About the Role
The Provider Relations Representative serves as the first point of contact for Versant’s provider network, analyzing and problem-solving claims-related issues and updating provider demographic information. This role assists with network recruitment and provider network updates, prepares documents for Credentialing, and reviews provider complaints and grievances.
Responsibilities
- Serve as initial contact and respond to all provider related inquiries with exceptional service and timely responses in a professional and courteous manner
- Resolve and respond to provider claims issues and complaints
- Identify and correct fee schedule issues
- Submit requests for adjustments to Claims
- Provide education to providers and their office staff regarding processes and changes
- Accurately update systems with changes in provider information
- Process recruitment materials and applications received from providers
- Assist in recruitment projects, network comparisons and data entry
- Initiate improvements to processes and procedures for Provider Relations that support company and departmental standards and strategic directives
- Other duties as assigned
Requirements
- Three (3) or more years of customer service and administrative experience
- Understanding of vision care insurance is a plus
- All Associates must comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI)
- Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times
- Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program
Skills
- Excellent interpersonal, verbal, and written communication skills
- Skill set to analyze and problem solve any claims-related issues
- Excellent organizational skills
- Able to multi-task
Location
- United States
Work Type
- Temporary Position
Experience Level
- 3+ years of customer service and administrative experience
- Preferred experience in a managed health care environment, provider relations and/or customer service
Education Level
- High school diploma or equivalent is required
- Preferred Associate’s Degree
Salary/Compensations
- $20 – $21 per hour
Benefits
- Medical, dental, and paid vision coverage
- Paid time off and company holidays
- Retirement savings with employer contribution
- Employee wellness resources
- Professional development opportunities
- Flexible work arrangements
- Employee assistance programs
About the Company
- Versant Health is one of the nation's leading administrators of managed vision care, serving over 35 million of our clients' members across the United States.
- Our purpose is to make healthy vision a reality for everyone by improving access to care and education in the communities we serve.
- Fueled by our mission to improve members’ lives with easy-to-use vision solutions rooted in choice, value, and care, we believe that everyone has the power to become anything they set their sights on.
- Our team is guided by core Leadership Principles—Perspective, Care, Drive, and Ownership—which shape how we work, lead, and grow together.
- Our Management Team is committed to fostering a strong and supportive culture, cultivating a thriving work environment, providing clear direction, optimizing resources, enabling innovative solutions, and driving meaningful results.
Equal Opportunity
- Versant Health is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce.
- All qualified applicants will receive consideration for employment at Versant Health without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.