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Provider Relations Specialist II
at Paradigm Management Services, LLC
Sarasota, FL

Provider Relations Specialist II
at Paradigm Management Services, LLC
Sarasota, FL

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Description

Description:

Paradigm Specialty Networks is seeking to add 2 new Provider Relations Specialists to join our growing team!


This role will have the potential to be a remote opportunity, so we are open to candidates throughout the US!


Duties and Responsibilities:

  • Identify prospects through list analysis and high priority projects.
  • Call potential provider to explain our company services and the details of the contract.
  • Obtain providers demographics, create a contract, and send to the provider.
  • Follow up with provider(s) to execute, contract, negotiate rates, and answer questions.
  • Update Adva-Pro (proprietary software) and/or SalesForce on a daily basis.
  • Act as a resource to answer any general provider contracting questions.
  • Perform data-analysis as requested by management.
  • Assist management in training new contractors.


. Requirements:

Qualifications:

  • College degree required.
  • Has a minimum 3-5 years of experience in Health field or Provider Relations department.
  • Exceptional communication and telephone skills required, as well as a great deal of patience, understanding and tact.
  • Possess a high level of self-confidence and persistence; maintain an assertive approach in dealing with providers.
  • Must possess excellent organizational skills and ability to multi-task effectively.
  • Demonstrate the ability to prioritize heavy workload and work independently with minimal supervision.
  • Proficient computer and internet skills; familiarity with Microsoft Office software required.
  • Call center experience a plus.
  • Will develop in-depth knowledge of department and company internal workflows, including but not limited to individual states procedures and negotiating protocols.
  • Bilingual a plus.




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