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Provider Relations Representative I - Mississippi

April 30, 2026

<h1>Join us for an exciting career with the leading provider of supplemental benefits!</h1> Our 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 Representative I plays a pivotal role within Avesis, acting as the essential liaison between the company and its network of participating vision care providers. As a member of the Provider Relations Department, the Provider Relations Representative is responsible for building and maintaining strong, positive relationships with providers to ensure seamless collaboration and high-quality service delivery. As the face of Avesis to the provider community, the PR1 ensures that both Avesis and its network of providers operate in sync to deliver exceptional vision care to members. This is a fantastic opportunity to make a meaningful impact, work with diverse healthcare professionals, and contribute to the growth and success of a thriving organization. If you're passionate about relationship-building, problem-solving, and driving excellence in healthcare, this role is for you. In this dynamic role, you will be responsible for delivering best-in-class provider education and training, ensuring providers are well-informed on processes, policies, and new initiatives. You'll also be a problem-solver, working to resolve provider issues, researching and addressing challenges, and leading key projects that enhance provider engagement and satisfaction.***Candidates must reside in the state of Mississippi, per contractual requirements.Functional Competencies:<ul><li>Provider Relations 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.</li><li>Conducts provider outreach remotely via phone/email/video by providing training, orientation, and coaching for performance improvement within provider practices. Provider 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.</li><li>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.</li><li>Consistently document all provider interactions, including calls, emails, virtual visits, in accordance with departmental standards. Ensures that notes are clear, timely, and accurately reflect the nature of communication to support ongoing relationship management, issue resolution, and continuity of service across teams.</li><li>Maintains thorough and timely records to ensure accountability, transparency, and effective information sharing across teams.</li><li>Owns and manages relationship and performance of assigned provider groups. Serves as the primary point of contact for assigned providers.</li><li>Complete provider orientation via phone, email, or virtually for all applicable product lines to train, resolve issues, and educate staff/providers.</li><li>Work in conjunction with Provider Relations Representative II to ensure that provider concerns are addressed (as applicable)</li><li>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.</li><li>Knowledge of the provider credentialing and contracting process</li><li>Educate providers regarding state program, group policies, and/or health plan policies and procedures and state/federal regulation for compliance requirements.</li><li>Investigate and respond to all provider related issues and initiate changes of provider demographic related database information.</li><li>Knowledge of and intermediate ability to use various computer programs such as Microsoft Office including spreadsheets, databases, word processing and presentation software and programs/systems utilized in data analysis</li></ul>Core Competencies:<ul><li>Knowledge of dental health plan operations preferred.</li><li>Knowledge of dental provider/health plan contracts/agreements highly desired.</li><li>Microsoft applications and other windows-based applications to include an intermediate level in Microsoft Excel and databases. Knowledge of and intermediate ability to use various computer programs such as Microsoft Office including spreadsheets, databases, word processing and presentation software and programs/systems utilized in data analysis.</li></ul>Behavioral Competencies:<ul><li>Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth. </li><li>Initiative: readiness to lead or take action to achieve goals.</li><li>Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.</li><li>Member-focused: going above and beyond to make our members feel seen, valued, and appreciated.</li><li>Detail-oriented and thorough: managing and completing details of assignments without too much oversight.</li><li>Flexible and responsive: managing new demands, changes, and situations.</li><li>Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.</li><li>Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and to keep information confidential when required.</li><li>Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.</li></ul>Minimum Qualifications:<ul><li>Must reside in the state of Mississippi</li><li>High School diploma or equivalent (Prefer associate degree or higher); experience may substitute for education.</li><li>Comprehension of Medical/Dental Terminology.</li><li>Previous Dental office administration experience.</li><li>The ability to travel 10-20% to attend trade shows required. Travel times may vary and can range from short overnight trips to extended stays.</li><li>As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 25 Mbps upload while hardwired and not on a VPN are sufficient.</li></ul>Preferred Qualifications:<ul><li>Previous Provider Relations experience</li><li>Bachelor's degree</li><li>Certified Dental Assisting National Board (DANB) certified or Certified dental assistance (CDA).</li></ul>Equal Employment OpportunityAt 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!At Avēsis, we strive to design equitable, and competitive compensation programs. Base pay within the range is ultimately determined by a candidate's skills, expertise, or experience. In the United States, we have three geographic pay zones. For this role, our current pay ranges for new hires in each zone are:Zone A: $20.13-$33.54 Zone B: $21.93-$36.54 Zone C: $23.61-$39.35 FLSA Status: Hourly/Non-ExemptThis role may also be eligible for benefits, bonuses, and commission.Please visit <a href="https://myavesis.com/wp-content/uploads/2026/03/2026-Pay-Zones.pdf" target="_blank" rel="noopener noreferrer">Avesis Pay Zones</a> for more information on which locations are included in each of our geographic pay zones. However, please confirm the zone for your specific location with your recruiter.We Offer<ul><li>Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.</li><li>Competitive compensation package.</li><li>Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.</li><li>Life and disability insurance.</li><li>A great 401(k) with company match.</li><li>Tuition assistance, paid parental leave and backup family care.</li><li>Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.</li><li>Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.</li><li>Employee Resource Groups that advocate for inclusion and diversity in all that we do.</li><li>Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.</li></ul>How To Stay SafeAvēsis is aware of fraudulent activity by individuals falsely representing themselves as Avēsis 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.Avēsis 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 our process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avēsis recruiters will come from a verified email address ending in @ Avēsiscom.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 <a href="mailto:ITsupport@Avesis.com" target="_blank" rel="noopener noreferrer">ITsupport@Avesis.com</a>.To learn more about protecting yourself from fraudulent activity, please refer to this article link (<a href="https://consumer.ftc.gov/articles/how-avoid-scam" target="_blank" rel="noopener noreferrer">https://consumer.ftc.gov/articles/how-avoid-scam</a>). If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: <a href="https://reportfraud.ftc.gov/#/" target="_blank" rel="noopener noreferrer">https://reportfraud.ftc.gov/#/</a>) with the Federal Trade Commission. Avēsis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity.Equal Employment OpportunityAt 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!

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...