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Provider Relations Representative II

Amerigroup Corporation-Austin, TX, 73301

JOB SUMMARY: Serves as liaison to providers (including physicians, hospitals, and/or ancillary providers) and internal departments at the health plan. Responsible for performing activities designed to establish and maintain positive and productive relationships with AMERIGROUP network providers for Medicaid and Medicare products. These activities include responding to inquiries from providers regarding benefits, claim resolution, appeal status, and authorization or referral information. Also may be responsible for recruiting providers to ensure network access and service adequacy. Provides ...
 

Provider Relations Representative Jobs in Austin, Texas Jobs

ChaseSource LP | Austin, TX, 78727 | >2
Provider Relations Representative Functional Description: Provide provider and support services for the Primary Care Case Management (PCCM) THSteps Client Outreach effort, including but not limited to; provider contact for special events and blocked schedules, conferences, association meetings and resolution of provider related issues escalated to Provider Relations as identified by PCCM THSteps Client Outreach Contact Center. Plan and coordinate distribution of printed materials to providers and clients via direct and indirect sources. Education and Typical Years Experience Bachelor's degr...
AMERIGROUP Corporation | Austin, TX, 78789, USA | >5
Job Title: Provider Relations Rep II Job ID: 10738 Location:Austin, TX Full/Part Time: Full-Time Regular/Temporary: Regular JOB SUMMARY: Serves as liaison to providers (including physicians, hospitals, and/or ancillary providers) and internal departments at the health plan. Responsible for performing activities designed to establish and maintain positive and productive relationships with AMERIGROUP network providers for Medicaid and Medicare products. These activities include responding to inquiries from providers regarding benefits, claim resolution, appeal status, and authorization or ref...
 
 

Amerigroup Corporation Jobs

Amerigroup Corporation | Tampa, FL, 33601 | 3
Grade: 17 Recruiter: Carolina Cairo Shift: 10:30am to 7:00pm Start date: January 4, 2010 JOB SUMMARY: The Care Coordinator in the Support Center and/or National Contact Center is responsible for day to day medical management or pre-authorization activities. This contact center position manages member care ensuring essential, effective, appropriate and coordinated behavioral and physical health and social services. This individual acts as a member advocate, seeking and coordinating solutions to member health care needs. PRIMARY RESPONSIBILITIES: 1. Provides telephonic advice to members. 2. M...
AMERIGROUP Corporation | New York City, NY, 10044, USA | >12
Job Title: VP Govt Relations Job ID: 10753 Location:New York City, NY Full/Part Time: Full-Time Regular/Temporary: Regular Grade: 23 JOB SUMMARY: Responsible for establishing a variance in the perception of regulators and elected officials of AMERIGROUP's mission and values as contrasted with the HMO industry today by forming alliances and coalitions with community-based organizations, local, state and federal officials and industry groups. Responsible for promoting sound public policy that is in concert with AMERIGROUP's mission and values. Serve as the lead business owner for the rate set...
 
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