Provider Relations Field Representative, Dental - Utah

Join us for an exciting career with the leading provider of supplemental benefits!

O ur Promise

Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

At Avesis, the Provider Relations Field Representative plays a vital role in connecting our dental provider community with the resources, education, and support they need to thrive. As a key member of our Provider Relations Department, you'll be the bridge between Avesis and our participating provider network, ensuring that our partners are equipped, informed, and engaged every step of the way.

If you're a self-driven communicator who thrives on building relationships and solving problems, this is the role for you. Your expertise and passion will directly contribute to Avēsis's mission of delivering high-quality, accessible dental care to our members, while also supporting and nurturing the growth of our provider community. Join us in making a meaningful impact in the healthcare space!

In this role, you will combine the flexibility of a hybrid work environment with the opportunity to build lasting partnerships both remotely and in the field. You will lead efforts to foster best-in-class provider education, tackle provider inquiries and issues, and manage a variety of initiatives that enhance our relationships with the provider network.

Note : Must reside in the state of Utah

Functional responsibilities :

• Provider Operations encompasses several diverse provider administrative duties to improve the Avesis provider experience including direct provider engagement and training with the goal of resolution of issues.
• Conducts provider outreach via in-person / video / phone or email by providing training, orientation, and coaching for performance improvement within provider practices. Provide guidance through education to enable Avesis network providers to become more self-sufficient in confirming eligibility, claims submission and payment by use of available tools.
• Conduct monthly and / or quarterly meetings with provider groups documenting discussions, issues, attendees, action items, researching claims or prior authorization issues on site and routing to the appropriate party for resolution.
• Owns and manages relationship and performance of assigned provider groups. Serves as the primary point of contact for assigned providers.
• Communicate and shares provider claims and directory reporting both internally and externally and additional reporting as necessary.
• Complete provider orientation via phone, email, in-person and / or virtually for all applicable product lines to train, resolve issues, and educate staff / providers.
• Perform onsite facility reviews, when applicable and conduct quarterly face-to-face visits within the assigned territory and / or market. Work closely and coordinates with Avesis Claims, Customer Service, Utilization Management, Clinical Management, Credentialing, Recruitment, Account Management, and other staff to develop operational solutions for various provider network projects.
• Educate providers regarding state program, group policies, and / or health plan policies and procedures and state / federal regulation for compliance requirements. Investigate and respond to complex provider related issues and initiate change of provider demographic related database information.
• Responds to general provider contract inquiries, provider education and non-routine claim issues.
• Attend work-related events / conferences while representing the organization and brand in a professional manner.
• Coaches, mentors, and develops junior team members as applicable.

Core :

Behavioral :

Minimum Qualifications :

A valid driver's license with proof of auto insurance and the ability to use your own vehicle is required. The ability to travel up to 50% is required to meet prospective clients, existing customers, attend trade shows and other meetings as needed. Travel requirements may vary at different times of the year and can range from short / overnight trips to extended stays, visiting different regions to oversee project / client implementation or to provide guidance to our customers. Modes of transportation may also include public transportation, such as rail, bus, car and / or plane. Travel / mileage reimbursement will be provided in alignment with the IRS annual mileage program and / or receipts submitted through the company expense report policy.

FLSA Status : Salaried / Exempt

National Salary Range : $46,080 - $72,060

How to stay safe :

Avesis is aware of fraudulent activity by individuals falsely representing themselves as Avesis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company.

Avesis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avesis recruiters will come from a verified email address ending in @Avesis.com.

We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to ITsupport@Avesis.com.

To learn more about protecting yourself from fraudulent activity, please refer to this article link (). If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link : ) with the Federal Trade Commission. Avesis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity.

We Offer

Equal Employment Opportunity

At Avēsis, We See You. We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic. At Avēsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients. We focus on recruiting, training and retaining those individuals that share similar goals. Come Dare to be Different at Avēsis, where We See You!

Salary : $46,080 - $72,060