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)
Summary: Under the direction of the CEO, this position is responsible for continued development of national PPO network, PPO rate negotiations, credentialing system, orientation of providers, and provider-related quality assurance. Oversees departmental staff and operations.
Specific Duties:
Under the direction of the CEO, and in cooperation with all divisions as deemed appropriate:
Qualifications:
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0 Provider Relations Representative, Sr. jobs found in Gadsden, AL area