Provider Relations Cover Letter

Please consider me for the provider relations opportunity. I am including my resume that lists my qualifications and experience.

Previously, I was responsible for continuing education of providers via phone on claim submission, claim resubmission and use of provider website and customer service on the statusing of outstanding claims and electronic submission.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• CPT-4 and ICD-10 coding systems
• Expertise in Microsoft Office applications (Word, Excel, PowerPoint)
• Previous experience in provider training
• Knowledge of the TRICARE program and other Government contracting experience the different reimbursement methodologies being employed
• Possesses good interpersonal skills, establishing rapport and working well with others
• CPC or CPC-H coder
• Experience in Provider Relations/Network Management within managed care setting, health care industry or related field is strongly preferred
• Adaptive to change and improvement

I submit this application to express my sincere interest in the provider relations position.

Previously, I was responsible for assistance in compilation, distribution and processing of provider information, mailings and educational materials.

Please consider my experience and qualifications for this position:

• Full knowledge of total quality management and/or assurance concepts
• Communicate effectively to management, other staff members and external clients
• Comprehensive knowledge of insurance concepts, plan administration, planning, principles and managed care delivery systems
• Proficient in Microsoft office and other related software/programs
• Superior communication (written and oral), teamwork, organizational and leadership skills
• French verbal and written communication skills are an asset
• Strong grammar and attention to detail
• Excellent interpersonal skills and can work with people across the company

Please consider me for the provider relations opportunity. I am including my resume that lists my qualifications and experience.

In my previous role, I was responsible for expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Managed Care system database knowledge
• Facets software experience
• Previous or current knowledge of the dental industry in a dental office clinical or administrative setting
• Leadership capabilities to directly supervise professional relations service and recruitment staff
• Proficient with a variety of computer programs including Microsoft Office Products
• Knowledgeable in credentialing requirements for NET providers
• Able to perform fingering activities such as typing
• Perform repetitive activities such as typing, using a telephone

I would like to submit my application for the provider relations opening. Please accept this letter and the attached resume.

In my previous role, I was responsible for day-to-day workflow support of the provider relations function in compliance with health plan, corporate and state policies, procedures and guidelines.

Please consider my qualifications and experience:

• Prior experience with network development
• Organization and prioritization of multiple tasks
• Active Florida State Driver's license
• Answering inbound phone calls
• Completing verification and processing the information
• Deliver information to client calling into the company
• In-depth experience in the management of quality programs and/or assurance
• Knowledge of managed care products, health insurance benefits, ICD 9 & 10, CPT codes and medical terminology

I submit this application to express my sincere interest in the provider relations position.

In my previous role, I was responsible for claim information, assists with submission of claims and makes outbound calls to gather missing information on incomplete claims.

Please consider my experience and qualifications for this position:

• Effectively works within a team and independently
• Excellent knowledge and experience with computer applications (MS Office)
• Advanced Microsoft Word, Adobe Professional & Excel skills
• Knowledge of managed healthcare/pharmacy, MS&E or Dental benefit administration and claims processing is an asset
• Provider and payer work experience
• Knowledge of health care plans, products, policies, and procedures
• Knowledge of the Provider space and experience developing communication materials for providers
• Knowledge of design and negotiation of network configurations