Provider Relations Representative

Full Time
Pearland, TX 77584
Posted
Job description
Overview:
Kelsey-Seybold Clinic, a Houston tradition in patient-centered care, is a multispecialty clinic with over 25 locations and comprises more than 500 physicians providing primary and specialty care in a collaborative manner.

With 55 different clinical and non-clinical specialties, you can design a career path at Kelsey-Seybold Clinic that allows you to grow your future in a completely new direction.

Kelsey-Seybold Clinic is changing the way health cares.
Responsibilities:
This position is responsible for provider outreach in support of developing and maintaining positive & professional relationships with current
and potential Kelsey-Seybold and KelseyCare Advantage providers to ensure stable and geographically disperse networks for the Kelsey-
Seybold commercial and Medicare Advantage health plans and KS Plan Administrators’ health plan products. Provider relations functions
will include providing education, training, guidance, claims resolution and other duties as assigned.
Qualifications:
Provider Relations Representative
Location:Pearland Administrative Office
Department: Network Development
Job Type: Full Time

Salary Range: $58,223.20 to $76,417.95 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)


EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS
(A = basics; B = preferred)

Education

A.
Bachelor’s Degree (1-year experience
equivalent to 1 year of college)
B.

5+ years’ experience in applicable healthcare
administrative operations.

Experience
A.
3 years contract negotiation experience at a
health plan or medical group.
3-5 years’ experience in provider relations

B.

Demonstrated negotiation skills and ability to
interpret provider contracts.

Licenses
A.
Valid Texas Driver’s License and ability to trave

B.
Willingness to engage in local business travel

Communication

Demonstrated knowledge of CPT and ICD-9
coding and prior experience with
reimbursement methodologies
Proficient with Microsoft Word and Excel
Analytical and problem-solving skills; ability
to communicate effectively in writing and
verbally
Ability to work in a fast-paced environment;
demonstrated ability to perform multiple
concurrent tasks with minimal supervision
and meet deadlines
Demonstrated public speaking and
presentation skills

B.

Proficient with Access and PowerPoint
Capable of managing a variety of complex issues
while driving momentum of key projects

Special Skills

B.

Other

A.
B.

WORKING ENVIRONMENT
Office
e

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