Rep, Provider Relations I

Job Title: CSR (Healthcare)

Duration: 06/30/2025 - 03/29/2026

Location: Baltimore MD 21224

Pay Range: $29 - 30 hourly on W2

This is a hybrid role. Resource must periodically go into the office to facilitate a mailing campaign and attend onsite team meeting.

PURPOSE:

• Responsible for responding to complex and escalated contracting inquiries from a variety of network providers and care partners related to Medicare, Medicaid, Commercial and DSNP contracts.
• Assists functional teams daily to ensure all requests are handled in a timely and customer focused, professional manner.
• Performs a variety of administrative functions and coordination in support of the provider contracting process and initiatives.

ESSENTIAL FUNCTIONS:

• Works with the appropriate leader to triage and respond to complex and escalated inquiries from external provider practices or health care entities, as well as internal requests and bring to resolution in a timely manner or escalate to an accountable party.
• Contracting email boxes.
• Follows up to ensure resolution and/or assists with tasks to support resolution.
• Carrying out ad hoc mailings, uploading and printing of contracts, updating fee disclosures, editing/updating templates, gathering documentation for audits or other regulatory requirements, researching returned mail and triaging complaints/inquires.
• Maintain supporting documentation, process and standard operating procedures for the department.
• Provides regular updates to management with regard to identified and outstanding issues or trends.
• Maintain in-depth knowledge of insurance plans, product offering and reimbursement models.
• Provider contracting and networks management as assigned.
• MS 365 (Word, Excel, Outlook and teams)
• Great customer service and follow up skills.
• Interest in understanding the healthcare industry, health environment, health insurance payer environment.
• Understanding of Health benefits.

Dexian is a leading provider of staffing, IT, and workforce solutions with over 12,000 employees and 70 locations worldwide. As one of the largest IT staffing companies and the 2nd largest minority-owned staffing company in the U.S., Dexian was formed in 2023 through the merger of DISYS and Signature Consultants. Combining the best elements of its core companies, Dexian's platform connects talent, technology, and organizations to produce game-changing results that help everyone achieve their ambitions and goals.

Dexian's brands include Dexian DISYS, Dexian Signature Consultants, Dexian Government Solutions, Dexian Talent Development and Dexian IT Solutions. Visit https://dexian.com/ to learn more.

Dexian is an Equal Opportunity Employer that recruits and hires qualified candidates without regard to race, religion, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.