University Physicians Health Plans - HP Statewide ND
2701 E. Elvira Rd.
City & State
HIMS / Coding
Banner University of Arizona Health Plans is currently seeking a Provider Relations Representative to join the Network Development Provider Relations Department.
The Network Development Provider Relations Department is responsible for helping to develop and maintain our network of PCPs, specialists, hospitals and ancillary providers. Each contracted provider is assigned a Provider Relations Representative. The Network Development Provider Relations Department coordinates with other departments and agencies to provide valuable information on services and programs.
Full time, Day shift: 8:00AM-5:00PM (flexible)
525 W Brown RD
Mesa, AZ 85201
About University Physicians Health Plans The University of Arizona Health Plans (UAHP) manage a variety of health plans. Our mission is to advance health and wellness through education, research and patient care.
About Banner Health Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.
This position responds to and resolves advanced to complex level issues related to the daily administration and operation of potential and existing providers and may involve provider education, interpreting and developing policies, procedures and guidelines. Provides in-service to appropriate personnel in regard to changes and updates in system support files.
Travels frequently to physicians offices doing site visits, educating office staff, recruiting new offices, and resolving established problems.
Provides education to physicians and their office staff. This includes, but is not limited to coordinating orientation and education of providers, hospitals and the organizations insurance plan administration staff.
Identifies and resolves managed care issues concerning claims, contract interpretation, utilization management, eligibility and general operational issues.
Maintains all levels of communication with network providers, informing them of any operational, procedural, and contractual changes and updates.
Assists internal departments in resolving provider and member appeals pertaining to the
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system incl...udes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many locations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.