Provider Relations Representative I (Remote - $15/hr)
American Specialty HealthCalifornia, United States
Posted August 11, 2025
30000 - 30000 USD year
Full Time
About the Company
American Specialty Health (ASH) is a leading independent specialty health organization providing technology-enabled benefits management services, including clinical programs for musculoskeletal health, fitness programs, and well-being solutions. With a focus on prevention and wellness, ASH serves over 52 million members nationwide through its Silver&Fit, Active&Fit, Active&Fit Direct, and Active&Fit Now programs. The company's distinctive approach combines comprehensive benefits administration with innovative member self-pay fitness options for more than 460 million eligible individuals.
Job Description
ASH is seeking a Provider Relations Representative to join our Provider Relations department. The primary purpose of this position is to respond to practitioner inquiries via the telephone queue system regarding credentialing, re-credentialing and contracting.
Requirements
- Respond to and resolve practitioner inquiries received via the Provider Relations and Credentialing queue.
- Assist practitioners, staff, and clients with questions regarding credentialing, re-credentialing, participation requirements, contractual issues and high-level administrative problems.
- Perform credentialing and re-credentialing activities according to plan specifications.
- Maintain confidentiality of practitioner files, participation data, practitioner records/documents and all discussions relative to recruiting, contracting, and credentialing processes.
- Attend department and all-staff meetings to increase knowledge and foster teamwork.
Benefits
- Generous Paid Time Off
- 401k Matching
- Health Insurance