| Provider Relations Representative Job Description |
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| The following is a full job description for Provider Relations Representative. Here are the requirements and responsibilities for Provider Relations Representative along with statistics. If after reading this page you determine that Provider Relations Representative is not the position you are looking for, you may want to try one of these similar titles: Provider Relations Representative, Sr., Provider Relations Manager, Provider Relations Supervisor, Provider Relations Director, Public Relations Specialist I, Public Relations Specialist II, Public Relations Specialist III, Public Relations Specialist IV, Public Relations Director |
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| Requirements and Responsibilities For Provider Relations Representative |
| Supports, develops, and maintains service relationships with physicians, providers, and administrators of a provider network. Collects feedback from network stakeholders to survey satisfaction and facilitate communication. Responds to inquiries about referrals, eligibility, credentialing, and other policy matters and escalates or directs complex questions as necessary. Tracks and documents inquiries to ensure issues are resolved in a timely manner and creates routine reports to identify trends for management. Trains healthcare providers and physicians on network operating policies and procedures to ensure optimal network service standards. Requires a bachelor's degree. Typically reports to a manager. Work is closely managed. Works on projects/matters of limited complexity in a support role. Typically requires 0-2 years of related experience. |
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| Also referred to as: Provider Network Relations Representative |
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| Similar Jobs: Provider Relations Representative, Sr., Provider Relations Manager, Provider Relations Supervisor, Provider Relations Director, Public Relations Specialist I, Public Relations Specialist II, Public Relations Specialist III, Public Relations Specialist IV, Public Relations Director |
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| Level of Education: Provider Relations Representative Salaries with an Associate's Degree, Provider Relations Representative Salaries with a Bachelor's Degree, Provider Relations Representative Salaries with a Master's Degree or MBA, Provider Relations Representative Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
