Internal Provider Relations Representative

Job overview

The Internal Provider Relations Representative role is onsite at the central office in San Juan, Puerto Rico, with a Monday–Friday schedule from 8:30 a.m. to 5:30 p.m.; compensation is not specified. Provider Network Solutions-Puerto Rico develops solutions for healthcare providers and payers and describes its work as supporting quality patient care. The representative manages provider contracting and service processes, handles provider requests, reviews credentialing documentation, and supports post-contract needs. The role helps maintain provider compliance and service quality through timely communication and accurate process documentation.

What you'll do

• Manage provider contracting and service processes from the central office
• receive and route provider requests by phone or walk-in
• review and manage credentialing documentation
• address post-contract needs
• validate provider support activities
• follow company policies and standards
• document processes using official systems and tools.

What we're looking for

Skills & competencies

internal provider relations representative

san juan pr

provider network solutions

healthcare providers

provider contracting

credentialing

provider service

customer service

monday–friday

8:30 am–5:30 pm

Work arrangement

• Weekend coverage required

Benefits & perks

• Employer contribution to medical plan, cancer indemnity insurance, long-term disability insurance, and 401(k) retirement plan.

Why this role

Onsite central-office role in San Juan with a stated weekday schedule; requires an associate degree or equivalent and 1–2 years of healthcare provider services experience.

About the employer

PROVIDER NETWORK SOLUTIONS OF PUERTO RICO LLC is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.