New

Healthcare Provider Relations Representative

TEKsystems
$22.00 - $24.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, Colorado, Littleton
Jun 18, 2025
Job Description * Will work from a list of providers to make outreach and ask them to join network * Enter provider information into the system to validate and credential before they are approved vendors * Half of it is a very logical job - step by step instruction will be provided to update the system internally * 70% of the job -- heavy phone work and outbound calls - Must be very outgoing and make active outreach to providers with no relationship - will walk providers through the value prop in joining the network and discuss rate structures - explain the service to them. Will have all the info provided but not a scripted sales job - need to think on their feet. Will not handle high level contract negotiations * Also work through email to receive and update provider information * Will manage their own desk - heavy organization required and manage follow up and lots of tasks in process * Will work in CRM - all Microsoft based * Network development- outreaching providers (calls and emails) to recruit providers to our PPO, Work Comp, and EAP networks, as well as for single-case agreements when a specific type of provider is needed * Entering data into our EHR system based on contract renewals and provider updates as well as entering and reviewing data to maintain accurate records * Analyze, problem solve, and communicate with providers on their questions regardless if it is an IT, contracting, or procedural question * Supporting needs around HICF and UB claim issues and EOB requests * Reviewing and approving provider applications based on credentials and requirements * Review, respond, and meet with providers, clients, and other clients via in person (if applicable), Virtual meetings, phone calls, and email messages * Build and maintain relationships with providers, group practices, network partners, and community * Scanning and filing of documents * Negotiating Rate with providers and facilities * Reviewing, revising, and approving provider contracts Qualifications * Min 2 years in a role that required complex thinking & customer conversations * Minimum 1 year in healthcare industry experience required - need to know what a provider is, HIPPA regulations, how insurance works at a high level, what it means to be in network Pay and Benefits The pay range for this position is $22.00 - $24.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Littleton,CO. Application Deadline This position is anticipated to close on Jun 28, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.