Provider Relations Representative, Sr. supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. May provide guidance or expertise to less experienced representatives. Being a Provider Relations Representative, Sr. typically requires a bachelor's degree. Typically reports to a supervisor or manager. The Provider Relations Representative, Sr. gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Relations Representative, Sr. typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Job Summary: The Provider Relations Coordinator serves as a liaison between the healthcare organization and its network of healthcare providers, including physicians, specialists, hospitals, clinics, and other healthcare facilities. They are responsible for maintaining strong relationships, addressing concerns, and ensuring effective communication between the organization and its provider network.
Responsibilities:
Provider Network Management:
Contract Management:
Provider Education and Training:
Issue Resolution:
Provider Communication:
Quality Improvement:
Network Development:
Compliance and Regulatory Compliance:
Qualifications:
Note: The specific responsibilities and qualifications may vary depending on the healthcare organization's size, structure, and specialty focus. Adaptations to the job description may be necessary to align with organizational needs and requirements.
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0 Provider Relations Representative, Sr. jobs found in Columbia, SC area