Provider Relations Representative
Location: Pearland Administrative Office
Department: Kelseycare Managed Care
Job Type: Full-Time
Kelsey-Seybold Clinic. Your Doctors for Life.
Since 1949, Kelsey-Seybold Clinic has served its patients with one goal in mind – combine the expertise of physicians in a variety of medical specialties, with the close personal care of a family doctor. Kelsey-Seybold is Houston’s largest community-based physician group, caring for more than 400,000 patients. With 19 clinic locations, we are growing to meet the health care needs of our diverse patient population. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.
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.
EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS
(A = basics; B = preferred)
A. Bachelor’s Degree (1 year experience equivalent to 1 year of college)
B. 5+ years experience in applicable healthcare administrative operations.
A. Valid Texas Driver’s License and ability to travel
B. Willingness to engage in local business travel