Provider Relations Representative, Sr. jobs in Eden Prairie, MN

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)

V
Provider Relations Manager
  • Volunteers of America, Inc.
  • Prairie, MN FULL_TIME
  • The Provider Relations Manager will Manage and maintain the provider network and relationships across all VOANS PACE (Program of All-Inclusive Care for the Elderly) Organizations.

    PACE locations include:
    North Carolina, Michigan, Colorado and Kentucky

    Benefit Highlights:

    • 403(b) Retirement Plan
    • Career scholarships;
    • Continuing career education and leadership programs;
    • Dental and Vision Insurance
    • Paid Time Off (Vacation, Holiday & Sick Days)

    Schedule: M-F 8:30am-5:30 PM (Fully Remote)

    Essentials:

    • Oversee and manage provider network across all VOANS PACE Organizations.
    • Supervises Provider Relations Representative position(s).
    • Initiates and maintains effective channels of communication with new and existing healthcare providers.
    • Exhibits understanding and sets priorities to handle multiple tasks simultaneously, and designs work plans to track progress, resolve issues, and efficiently and effectively see tasks to completion.
    • Completes orientations, training and development for new and existing network providers.
    • Manages Provider Relations website.
    • Manages Provider Relations claim system module.
    • Conducts site visits to providers if necessary.
    • Gathers, reviews, and verifies all pertinent information relating to participating healthcare providers.
    • Collaborates with the Provider Relations Representative on projects.
    • Works with the Third-Party Administrator and VOANS Claims and Contracting departments in resolving healthcare provider issues in a timely manner.
    • Plan and facilitate meetings with current and future healthcare providers.
    • Works with healthcare providers to adhere to contract and regulatory requirements.
    • Prepares routine reports for the Sr. Director of Healthcare Operations on provider satisfaction and other provider metrics.

    Required Qualifications:

    • Bachelor’s degree in Healthcare or Business Administration or closely related field.
    • Minimum four years in client services, provider relations, and claims processing.
    • Ability to communicate and work effectively with various levels of facility and VOA/VOANS staff and providers.

    Preferred Qualifications:

    • Knowledge of HIPAA law.
    • Knowledge of PACE regulations.

    At VOANS, we celebrate sharing, encouraging and embracing diversity. Equal employment opportunities are available to all without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, parental status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations’ shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best

    Experience

    Required
    • 4 year(s): Client Services, Provider Relations or Claims Processing

    Education

    Required
    • Bachelors or better in Health Administration or related field
  • 1 Day Ago

V
Provider Relations Manager
  • Volunteers of America National Services
  • Prairie, MN FULL_TIME
  • The Provider Relations Manager will Manage and maintain the provider network and relationships across all VOANS PACE (Program of All-Inclusive Care for the Elderly) Organizations. PACE locations inclu...
  • 1 Day Ago

R
Sr. Director Government Relations
  • Renewal by Andersen
  • South Saint Paul, MN FULL_TIME
  • Description & Requirements ANDERSEN CORPORATION SUMMARY: At Andersen, we pride ourselves on our core values of Excellence, Integrity, Innovation, Partnership and being a leader in Corporate Citizenshi...
  • 11 Days Ago

A
Customer Relations Representative
  • Adventures With The Bissingers
  • Minneapolis, MN FULL_TIME
  • 🌟 Join Our Growing Team of Travel Experts! 🌟As the demand for travel skyrockets, we're on the lookout for passionate individuals to join our team. We offer specialized training and continuous growth...
  • 9 Days Ago

F
Provider Services Representative (Hybrid)
  • Fulcrum Health, Inc.
  • Plymouth, MN FULL_TIME
  • POSITION TITLE: Provider Services Representative (Hybrid) DIVISIONS: Provider Network Management REPORTS DIRECTLY TO: Senior Director of Network Management Fulcrum Health Fulcrum Health, Inc. is a non...
  • 8 Days Ago

S
Sr service representative
  • Securian Financial Group
  • Saint Paul, MN FULL_TIME
  • Securian Financial Groups internal position title is Technology Services Sr. Rep. Position Summary : Join our Data Center Operations (DCO) Services team as an Overnight Technology Services Senior Repr...
  • 19 Days Ago

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0 Provider Relations Representative, Sr. jobs found in Eden Prairie, MN area

S
Customer Service Representative
  • Starkey Canada
  • Eden Prairie, MN
  • ** Customer Service Representative** **Job Category****:** Customer Service **Requisition Number****:** CUSTO004109 Show...
  • 3/27/2024 12:00:00 AM

E
Liquor Store Customer Service Representative (part-time)
  • Eden Prairie
  • Eden Prairie, MN
  • ** Liquor Store Customer Service Representative (part-time)** **Job Category****:** Administration-Finance & Liquor **Re...
  • 3/27/2024 12:00:00 AM

S
Customer Service Representative
  • Steris plc.
  • Eden Prairie, MN
  • Job Title: Customer Service Representative Description: At STERIS, we help our Customers create a healthier and safer wo...
  • 3/27/2024 12:00:00 AM

O
Patient Access Representative Senior - Minneapolis, MN
  • Optum
  • Eden Prairie, MN
  • $1,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to h...
  • 3/27/2024 12:00:00 AM

O
Part-Time Patient Access Representative Associate - Saint Paul, MN
  • Optum
  • Eden Prairie, MN
  • $500 SIGN ON BONUS FOR EXTERNAL APPLICANTS Opportunities at Optum, in strategic partnership with Allina Health. As an Op...
  • 3/25/2024 12:00:00 AM

S
Customer Service Representative - Hybrid/Remote Options Available
  • Starkey Canada
  • Eden Prairie, MN
  • ** Customer Service Representative - Hybrid/Remote Options Available** **Job Category****:** Customer Service **Requisit...
  • 3/24/2024 12:00:00 AM

S
Customer Service Rep- Flexible Schedule, Up to $18/hr!
  • ShopHQ
  • Eden Prairie, MN
  • ** Customer Service Rep- Flexible Schedule, Up to $18/hr!** **Job Category****:** Customer Operations **Requisition Numb...
  • 3/24/2024 12:00:00 AM

C
Program Development Sales Rep
  • Cencora
  • Eden Prairie, MN
  • Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthi...
  • 2/27/2024 12:00:00 AM

Eden Prairie is an edge city 12 miles (19 km) southwest of downtown Minneapolis in Hennepin County, and the 12th-largest city in the State of Minnesota. It is the 7th-largest suburb in the Twin Cities, with a population of 60,797 at the 2010 census. The city is on the north bank of the Minnesota River, upstream from its confluence with the Mississippi River. Eden Prairie is an affluent suburb with a mixed-income city model. It is home to 7,213 firms, municipal and regional parks, conservation areas, trails, and recreational facilities. There are walking trails around Purgatory Creek and Starin...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$75,895 to $94,119
Eden Prairie, Minnesota area prices
were up 1.4% from a year ago

Provider Relations Representative, Sr. in Kingsport, TN
A job as a Provider Relations Representative falls under the broader career category of Business Operations Specialists, All Other.
February 18, 2020
Provider Relations Representative, Sr. in Sioux City, IA
The PR Rep serves as a liaison between contracted payers, providers and ancillary providers to promote superior customer service and seamless programs.
February 16, 2020
Provides telephonic provider education to new providers.
February 14, 2020
Provider Relations Representative, Sr. in Buffalo, NY
This position provides on-going communication, in-service, orientation, and direction to these contracted provider offices.
February 03, 2020