Provider Relations Representative

Description
• Act as the main point of contact for dental providers regarding participation status, credentialing, and contract-related questions via email or phone.
• Process new provider applications, credentialing requests, and changes to records
• Respond to provider and member inquiries via phone, email, and voice mail with professionalism and accuracy.
• Manage queue-based tasks including provider adds, terminations, fee schedule updates, and contract maintenance.
• Review and submit audits, ensuring documentation meets compliance and credentialing standards.
• Support assigned groups, handling all communications and requests.
• Collaborate with internal departments and network leasing partners to ensure data consistency and proper contract loading.
• Investigate and help resolve complaints from providers and members, coordinating with Compliance when necessary.
• Attend team meetings and stay current on internal processes, policies, and industry regul...