Provider Relations Representative – LVN-Houston

Houston , Texas | Date Added: May 09, 2022
Start Date: May 09, 2022
Job ID: 160361
 

The Role and the qualities we are looking for: 

Provenir Healthcare is currently looking for a Provider Relations LVN.  

  

Schedule  – Full-Time

  

Job Duties and Responsibilities 

  •  Develop the provider network of assigned territory (family practice, cardiology, etc.) . 
  • Intermediary between Health Plans and Providers concerning provider participation, claim issues, additions, terminations 
  • Daily visits to physician offices 
  • Provide Orientations and ongoing education to physicians and staff on Health Plans policies, procedures and resource information 
  • Develop a strong relationship with office staff and physician to promote their growth in the network 
  •  Assist staff with proper claims payment when necessary. 
  • Assist Health Plans and Physicians with HEDIS compliance and data collection 

 

Qualifications 

  • State of Texas LVN license 
  •  Two years exp in Utilization Review 
  • Proficiency in Microsoft Word, Excel, Outlook, and PowerPoint. 
  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. 
  • Ability to read and interpret documents. Ability to write routine reports and correspondence. 
  • Quality: Demonstrate accuracy and thoroughness, look for ways to improve and promote quality. Apply feedback to performance and monitor own work to ensure quality. 
  • Quantity: Meet productivity standards and complete work in a timely manner. Strive to increase productivity. 
  •  

Who is Provenir Healthcare and why work with us? 

We are your prime source for quality healthcare positions across the nation. Healthcare has been and always will be our only focus, so we’re knowledgeable and passionate about what we do and take pride in continually being an award-winning and joint certified national staffing and recruiting agency. We look forward to working one-on-one with you in helping you find the best opportunity for your healthcare career. 

For more information on this position and others, please contact Kit Reese at 210-851-8168 or creese@provenirusa.com.

 

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