Banner University of Arizona Health Plans is currently seeking a Provider Relations Representative to join the Network Development Provider Relations Department.
The Network Development Provider Relations Department is responsible for helping to develop and maintain our network of PCPs, specialists, hospitals and ancillary providers. Each contracted provider is assigned a Provider Relations Representative. The Network Development Provider Relations Department coordinates with other departments and agencies to provide valuable information on services and programs.
Full time, Day shift: 8:00AM-5:00PM (flexible)
525 W Brown RD
Mesa, AZ 85201
About University Physicians Health Plans
The University of Arizona Health Plans (UAHP) manage a variety of health plans. Our mission is to advance health and wellness through education, research and patient care.
About Banner Health
Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.
This position responds to and resolves advanced to complex level issues related to the daily administration and operation of potential and existing providers and may involve provider education, interpreting and developing policies, procedures and guidelines. Provides in-service to appropriate personnel in regard to changes and updates in system support files.
Must possess a strong knowledge of healthcare as normally obtained through the completion of a bachelors degree in business, healthcare administration, or related field.
Must have an excellent understanding of medical terminology and knowledge of CPT-4 and ICD-9 coding.
Must know how or learn to program data retrieval utilities and queries. The incumbent must possess the ability to track and analyze statistical data. This position requires a mathematical aptitude, computer experience, typing skills and the ability to work on a variety of projects in an organized fashion.Must have the ability to effectively communicate both verbally and in writing.
Three years of experience in the healthcare field preferred. Two years of medical claims auditing experience is preferable.
Additional related education and/or experience preferred.