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Provider Relations Specialist at Professional Management Enterprises
Indianapolis, Indiana, United States -
Full Time

Start Date

Immediate

Expiry Date

01 Jun, 26

Salary

0.0

Posted On

03 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Attention To Detail, Problem-Solving, Customer Service, Confidentiality, Time Management, Organizational Skills, Record-Keeping, Communication

Industry

Professional Services

Description
Description Position Summary The Provider Relations Specialist serves as a key liaison between the organization and its provider network. This role supports compliance oversight, assists providers with credentialing processes, maintains accurate records, and contributes to audit preparation and reporting. The ideal candidate is detail-oriented, organized, and committed to supporting regulatory compliance and strong provider relationships. Key Responsibilities Serve as a primary point of contact for providers regarding compliance and credentialing matters Assist providers with uploading and maintaining required documentation in the credentialing portal Monitor and oversee general provider compliance requirements Maintain and organize physical records and documentation in accordance with company and regulatory standards Support preparation for internal and external audits Compile and assist in generating compliance-related reports Communicate proactively with providers to ensure timely submission of required materials Collaborate with internal departments to resolve credentialing and compliance issues Requirements Qualifications High school diploma or equivalent required; associate’s or bachelor’s degree preferred 1–3 years of experience in healthcare administration, provider relations, compliance, or credentialing preferred Familiarity with healthcare compliance and credentialing processes is a plus Strong organizational and record-keeping skills Excellent written and verbal communication skills Proficiency in Microsoft Office Suite and web-based portal systems Ability to manage multiple priorities and meet deadlines Skills & Competencies Attention to detail Problem-solving skills Customer service orientation Ability to handle sensitive and confidential information Strong time management and organizational abilities
Responsibilities
The Provider Relations Specialist acts as the main contact for providers regarding compliance and credentialing issues, assisting them with documentation and monitoring general compliance requirements. This role also involves maintaining records, supporting audit preparation, generating reports, and collaborating internally to resolve related issues.