Director of Provider Relations

A company is looking for a Director of Provider Relations - Bill Review. Key Responsibilities Lead and support a team of Provider Account Managers, setting goals and development plans Oversee operations for provider account management, ensuring timely responses to inquiries and disputes Manage strategic claim-level negotiations and ensure compliance with billing standards Required Qualifications 5+ years of experience in provider relations, claims negotiation, or payment integrity 2+ years of experience in people management or team leadership Experience in itemized bill review and payment integrity Familiarity with Medicare Advantage billing and reimbursement rules Strong knowledge of medical coding and payment methodologies

Jun 12, 2025 - 23:20

A company is looking for a Director of Provider Relations - Bill Review. Key Responsibilities Lead and support a team of Provider Account Managers, setting goals and development plans Oversee operations for provider account management, ensuring timely responses to inquiries and disputes Manage strategic claim-level negotiations and ensure compliance with billing standards Required Qualifications 5+ years of experience in provider relations, claims negotiation, or payment integrity 2+ years of experience in people management or team leadership Experience in itemized bill review and payment integrity Familiarity with Medicare Advantage billing and reimbursement rules Strong knowledge of medical coding and payment methodologies