Provider Relation Specialist

Are you a motivated healthcare professional who excels at building strong relationships and solving complex operational challenges? We are seeking a dedicated Provider Relations Representative to join our collaborative, service-focused team! In this dynamic role, you will serve as a trusted liaison and advocate for our network of dental providers, ensuring they have the support, education, and resources needed to deliver high-quality care.

Working remotely from your home workspace within the EST or CST time zones, you will manage provider relationships, facilitate welcome calls and onboarding, and educate practices on policies, manuals, and self-service portals. You will also partner closely with internal claims, credentialing, and operations departments to investigate and resolve complex claim issues and authorization trends. If you bring strong problem-solving capabilities, a solid understanding of dental office operations, and a passion for delivering exceptional service, this full-time role offers an outstanding platform to advance your career.

salary: $29.32 - $29.33 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School

Responsibilities

Position Summary:

Serve as the primary point of contact for network dental providers. Manage provider relationships, resolve complex claims and operational escalations, deliver educational training, and support provider onboarding to enhance overall network satisfaction.

Key Responsibilities:

• Act as the primary liaison between dental providers and the health plan to resolve claims, authorization, credentialing, and data inquiries.

• Conduct proactive provider outreach, including welcome calls and orientations for newly contracted dental practices.

• Educate providers on policies, procedures, manual updates, and web-based self-service tools.

• Analyze claims and authorization denial trends to identify root causes and coordinate solutions with internal operational teams.

• Track provider inquiries and escalations in established ticketing systems to ensure timely resolution.

Requirements:

• High School Diploma or equivalent required (Bachelor's degree preferred).

• 3 to 5 years of experience in provider relations, dental office operations, or healthcare contracting.

• Proven knowledge of healthcare, managed care, or dental claims billing/coding processes.

• strong proficiency in Microsoft Office applications (Word, Excel, Outlook, Teams).

• Ability to pass standard typing and basic computer skills assessments.

Skills

• Conduct meetings
• claims submission
• Excel

Qualifications

• Years of experience: 2 years
• Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected].

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.