| Provider Services Manager Job Description |
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| The following is a full job description for Provider Services Manager. Here are the requirements and responsibilities for Provider Services Manager along with statistics. If after reading this page you determine that Provider Services Manager is not the position you are looking for, you may want to try one of these similar titles: Provider Services Director, Provider Services Supervisor, Provider Services Representative III, Provider Services Representative II, Provider Services Representative I, Provider Relations Manager, Provider Programs Manager, Provider Systems Manager, Provider Network Manager |
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| Requirements and Responsibilities For Provider Services Manager |
| Manages customer service activities to healthcare providers within the network in alignment with organizational procedures and standards. Develops policies and procedures to resolve provider inquiries regarding benefits, claims, and services. Analyzes the causes of provider inquiries and issues to identify areas for service improvement. Monitors provider inquiries to coordinate support to handle workload and facilitate timely resolutions. Maintains and improves written documents and resources to inform, update, and support the network of healthcare providers. Requires a bachelor's degree. Typically reports to a director. Manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. |
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| Also referred to as: Healthcare Provider Services Manager, Provider Network Services Manager |
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| Similar Jobs: Provider Services Director, Provider Services Supervisor, Provider Services Representative III, Provider Services Representative II, Provider Services Representative I, Provider Relations Manager, Provider Programs Manager, Provider Systems Manager, Provider Network Manager |
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| Level of Education: Provider Services Manager Salaries with No Diploma, Provider Services Manager Salaries with a High School Diploma or Technical Certificate, Provider Services Manager Salaries with an Associate's Degree, Provider Services Manager Salaries with a Bachelor's Degree, Provider Services Manager Salaries with a Master's Degree or MBA, Provider Services Manager Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
