Remote Provider Relations Representative Jobs
Remote provider relations representative jobs are open across the U.S. in healthcare, managed care, and insurance, at remote-first payers, third-party administrators, and health tech companies hiring for everything from entry-level coordinators to senior relationship managers. Employers hiring remotely right now include Health Care Service Corporation, VSP Vision, and AlignRx. See the openings below and apply to the ones that match your experience.
Find JobsOverview
Showing 5 of 11+ Remote Provider Relations Representative jobs
Please note: At this time, we are not accepting or considering applicants residing in California (CA), New York (NY), or
Hawaii (HI).
Under the direction of the Bill Review Team Lead, the Provider Relations Specialist is responsible for assisting in a full range of provider relations and service interactions with the provider community, EK Health clients and partners. This position establishes and fosters relationships and works directly with the Bill Review team to resolve all requests related to bill processing.
Position Specifics: Full-time, Non-Exempt position; working Monday through Friday 8-hour work day - 8am-4:30pm PST (Remote)
The job responsibilities will include, but are not limited to:
- Accurately and appropriately analyze all types of medical bills based on claim jurisdiction, medical notes, usual and customary rates (UCR), statutory regulations including state laws and fee schedules, available MPN/PPO contracts, coding guidelines, client instructions, and company policies and procedures
- Must be able to understand how a bill was processed and communicate to providers the methodology for processing and re-pricing the bill
- Receive all provider calls, emails and voicemails and respond within 48 hours
- Monitor the bill review process from initial receipt of bills through final payment
- Reviews and verifies the correct use of medical billing codes and reports the detection of improper use of billing codes to Client Inquiries, Enforcer or QA team
- Work with the Bill Review team on all quality assurance issues identified for review and handling
- Communicate with medical providers to obtain needed information to resolve bill-specific issues
- Communicate directly with clients, adjusters and providers offering excellent customer service by responding to and answering their questions quickly and professionally
- Participate in ongoing training to enhance job skills and knowledge
- Other duties as assigned
Pay & Perks
- Pay $19-21/hr based on experience, education and location
- Medical, Dental and Vision Insurance
- 401K
- Paid Time Off
- Paid Holidays
- Monthly internet stipend
- Equipment provided
- High School Diploma required
- 2+ years of experience in complex Workers' Compensation Bill Review with customer service exposure.
- Knowledge of medical terminology, CPT codes, and DRG.
- High comfort level with computers and computer programs (MS Word, MS Excel, Email)
- Ability to read, analyze, and interpret technical procedures, medical reports, state laws and fee schedules.
- Hospital Bill Review experience a plus.
- CPC (Certified Professional Coding) coursework or certification a big plus.
- Strong Written and Oral Communication & Interpersonal Skills
Physical Requirements:
Candidate must be able to sit the majority of an 8-hour day except for lunch and break times. Candidate must be able to keyboard the majority of an 8-hour day except for lunch and break times. Candidate must have manual dexterity. Candidate must be able to speak on the telephone intermittently throughout the day. Candidate must be able to read and write English fluently. Candidate must be able to provide and confirm safe home office environment. Home office must be HIPAA compliant.
*Requires DSL, fiber, or cable internet connection from home 100 Mbps preferred or better. *Please note: At this time, we are not accepting or considering applicants residing in California (CA), New York (NY), or
Hawaii (HI).
Under the direction of the Bill Review Team Lead, the Provider Relations Specialist is responsible for assisting in a full range of provider relations and service interactions with the provider community, EK Health clients and partners. This position establishes and fosters relationships and works directly with the Bill Review team to resolve all requests related to bill processing.
Position Specifics: Full-time, Non-Exempt position; working Monday through Friday 8-hour work day - 8am-4:30pm PST (Remote)
The job responsibilities will include, but are not limited to:
- Accurately and appropriately analyze all types of medical bills based on claim jurisdiction, medical notes, usual and customary rates (UCR), statutory regulations including state laws and fee schedules, available MPN/PPO contracts, coding guidelines, client instructions, and company policies and procedures
- Must be able to understand how a bill was processed and communicate to providers the methodology for processing and re-pricing the bill
- Receive all provider calls, emails and voicemails and respond within 48 hours
- Monitor the bill review process from initial receipt of bills through final payment
- Reviews and verifies the correct use of medical billing codes and reports the detection of improper use of billing codes to Client Inquiries, Enforcer or QA team
- Work with the Bill Review team on all quality assurance issues identified for review and handling
- Communicate with medical providers to obtain needed information to resolve bill-specific issues
- Communicate directly with clients, adjusters and providers offering excellent customer service by responding to and answering their questions quickly and professionally
- Participate in ongoing training to enhance job skills and knowledge
- Other duties as assigned
Pay & Perks
- Pay $19-21/hr based on experience, education and location
- Medical, Dental and Vision Insurance
- 401K
- Paid Time Off
- Paid Holidays
- Monthly internet stipend
- Equipment provided
- High School Diploma required
- 2+ years of experience in complex Workers' Compensation Bill Review with customer service exposure.
- Knowledge of medical terminology, CPT codes, and DRG.
- High comfort level with computers and computer programs (MS Word, MS Excel, Email)
- Ability to read, analyze, and interpret technical procedures, medical reports, state laws and fee schedules.
- Hospital Bill Review experience a plus.
- CPC (Certified Professional Coding) coursework or certification a big plus.
- Strong Written and Oral Communication & Interpersonal Skills
Physical Requirements:
Candidate must be able to sit the majority of an 8-hour day except for lunch and break times. Candidate must be able to keyboard the majority of an 8-hour day except for lunch and break times. Candidate must have manual dexterity. Candidate must be able to speak on the telephone intermittently throughout the day. Candidate must be able to read and write English fluently. Candidate must be able to provide and confirm safe home office environment. Home office must be HIPAA compliant.
*Requires DSL, fiber, or cable internet connection from home 100 Mbps preferred or better. *See All 11 Remote Provider Relations Representative Jobs
Find roles that match your experience and apply in just a few clicks.
Find JobsRemote Provider Relations Representative Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in remote provider relations representative jobs.
- Two or more years of experience in provider relations, credentialing, or healthcare contracting
- Proficiency with provider data management and credentialing platforms such as CAQH or PECOS
- Knowledge of managed care, Medicare, Medicaid, or commercial insurance plan structures
- Strong verbal and written communication skills for provider outreach and dispute resolution
- Associate or bachelor's degree in healthcare administration, business, or a related field
- Familiarity with contract terms, network adequacy standards, and provider appeals processes
Tips for Your Remote Provider Relations Representative Job Search
Apply early to remote roles that fit
Migrate Mate lists remote provider relations representative openings from across the U.S. in one place, so you can find roles that match your background and apply directly without sorting through unrelated postings.
Prove your async communication skills upfront
Remote provider relations representatives handle provider inquiries, escalations, and contract questions entirely through email, ticketing systems, and video calls. Show writing samples or document examples that demonstrate you can resolve complex provider issues clearly without back-and-forth.
Highlight self-managed caseloads in your resume
Remote employers need to know you can own a provider portfolio without daily manager check-ins. Quantify how many providers or accounts you managed independently and call out any process you built or improved without on-site support.
Prepare for a remote-specific interview round
Many remote hiring teams add a practical screen, asking you to walk through a provider dispute resolution or contract issue over video. Practice talking through your decision process out loud and have a quiet, professional remote setup ready before your first call.
Remote Provider Relations Representative Jobs: Frequently Asked Questions
How do I get a remote provider relations representative job?
Focus your search on health plans, managed care organizations, and health tech companies that operate distributed teams, since these employers are most likely to hire provider relations representatives remotely. Remote hiring managers screen hard for self-direction, clear written communication, and experience managing provider inquiries or contracts without in-person support. Demonstrating you can resolve issues independently and document outcomes without hand-holding gives you a clear edge.
Which companies hire remote provider relations representatives?
Remote provider relations representative roles are posted by Health Care Service Corporation, VSP Vision, and AlignRx and others right now, based on current remote listings on Migrate Mate as of November 2026. Remote-first payers, third-party administrators, and distributed health tech firms make up the bulk of employers posting these roles outside a fixed office.
Can you get a remote provider relations representative job with no experience?
Yes, but remote entry-level roles are harder to land because employers expect you to troubleshoot provider issues and manage relationships with minimal supervision from day one. Health tech startups and smaller third-party administrators are the most likely to hire entry-level remotely. Showing familiarity with provider networks, healthcare terminology, or customer-facing roles in a healthcare adjacent setting can open the door when direct experience is thin.
Do you need a degree for remote provider relations representative jobs?
Not always. Many remote employers in managed care and health tech weigh demonstrated provider contracting or customer service experience alongside or instead of a formal degree. What matters most is your ability to resolve provider disputes, communicate clearly in writing, and work through credentialing or contract questions without needing an on-site team around you.
See All 11 Remote Provider Relations Representative Jobs
Find roles that match your experience and apply in just a few clicks.
Find Jobs