Provider Relations Representative, Sr. jobs in Montana

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)

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Provider Relations Liaison
  • billingsclinic
  • BILLINGS, MT FULL_TIME
  • The Provider Relations Liaison is the point person and key liaison between Billings Clinic and referring providers in a designated geographical area. Provides strategy support to administrative and service line leadership for services provided throughout the region. Delivers key Billings Clinic messaging, develop relationships with practice leaders, physicians, and staff, reinforce appropriate utilization of Billings Clinic services, coordinate issue resolution, and act as a liaison between the referring office and Billings Clinic. Qualifies potential referral generating sources, strengthens relationships with existing referral sources, determines provider and patient needs, and effectively communicates solutions. Accountable for referral relations program and communication processes. Develops and coordinates and distributes communications and tools to support the flow of referrals and communication back to referring providers. Gathers and shares local and regional marketing intelligence to support development and implementation of marketing and planning strategies. Engages with Regional Leadership for defined geographic area to support organizational goals. Held accountable to monthly goals and quotas that are determined by leadership.

    Essential Job Functions

    • Identifies and routinely interacts with targeted referring physicians both locally and in the region. Provides overview of Billings Clinic capabilities and services and provides follow-up to clinical leadership for any service improvements. In collaboration with physician leadership, other medical/ancillary staff and other health care providers, develops and implements short and long range plans, and leads, develops and revises programs which enhance services.
    • Assists in the execution of specialty service line marketing plans to retain and increase specialty and tertiary referrals and expand market capture and geographic presence.
    • Participates in building relationships to maintain and strengthen both internal and external referral relationships. Gathers market intelligence from region and integrates into planning processes and identifies trends in the market that impact market strategy with local leaders.
    • Partners with clinical service line director/manager to clarify and resolve referring physician problems/complaints.
    • Assists in the retention of patients from on aspect of care to another in a convenient, customer responsive expedited manner.
    • Provides best access to Billings Clinic services.
    • Helps Billings Clinic make it easy for patients and providers to enter and stay in our integrated network.
    • Gains a deep understanding of the patient and provider experience accessing and staying in Billings Clinic system.
    • Understands business needs of referral sources and how Billings Clinic can meet those needs.
    • Builds and maintains strong professional relationships and formulates a strategy to increase appropriate utilization.
    • Utilizing reports and feedback from internal and external sources.
    • Identifies opportunities that gains a deep understanding how services are accessed by patients and providers, and how those services can improve clinical outcomes for patients in our communities.
    • Assists leadership in developing assigned territory that fit within the scope of the overall company strategy.
    • Identifies opportunities, issues, and sources of leakage.
    • Provides communication with leadership to resolve referring office issues and customer service shortfalls.
    • Maintains call logs and visit notes as instructed by Outreach leadership.
    • Correlates closely with hospital leadership in delivering a standard Billings Clinic message.

  • 1 Month Ago

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Provider Network Representative (Hybrid)
  • Health Care Service Corporation
  • Helena, MT FULL_TIME
  • At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning p...
  • 9 Days Ago

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Customer Service Representative - Roadside Assistance Provider
  • The Virtual Call Center, Inc
  • Helena, MT FULL_TIME
  • Here at The Virtual Call Center, we're in the business of embracing change by transforming how individuals provide quality customer service to Top Name Brands and Fortune 500 companies, by offering an...
  • 8 Days Ago

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Internal Medicine Physician
  • Provider Solutions & Development
  • Missoula, MT FULL_TIME
  • Providence Medical Group Internal Medicine clinic is seeking a full-time, board-certified/board-eligible Internal Medicine physician to join its team in Missoula, Montana. This is an outpatient only r...
  • Just Posted

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Neuropsychologist
  • Provider Solutions & Development
  • Missoula, MT OTHER
  • Providence is seeking a full-time Neuropsychologist to join our dedicated and compassionate team of providers. As a Neuropsychologist at Providence, you will have the opportunity to make a meaningful ...
  • 3 Days Ago

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Nurse Practitioner Heart Failure Cardiology
  • Provider Solutions & Development
  • Missoula, MT OTHER
  • Providence Heart Institute of Montana is seeking a full-time nurse practitioner or physician assistant to join their newly established heart failure team. At Providence Heart Institute, our cardiovasc...
  • 1 Month Ago

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Provider Relations Representative
  • American Health Partners
  • Indianapolis, IN
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 5/7/2024 12:00:00 AM

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Customer Relations Representative
  • Iconma LLC
  • Fort Mill, SC
  • One of our Automotive clients is looking for an experienced Customer Relations Representative in Fort Mill, SC Job Descr...
  • 5/7/2024 12:00:00 AM

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Donor Relations Representative
  • Christus Health
  • Irving, TX
  • Description Summary: Responsible for gift processing and donor relations including: responding to all donor inquiries, r...
  • 5/6/2024 12:00:00 AM

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Provider Relations Representative
  • UMass Memorial Health Care
  • Worcester, MA
  • Are you a current UMass Memorial Health caregiver? CLICK HERE to apply through your Workday account. Schedule Details: M...
  • 5/4/2024 12:00:00 AM

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Customer Relations Representative
  • AU Standard
  • Salt Lake City, UT
  • Our Salt Lake City-based team works closely with nationally recognized charities and NGOs to plan and administer aid wit...
  • 5/4/2024 12:00:00 AM

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Patients Relations Representative
  • ACCESS PT
  • Campbell Hall, NY
  • Job Description Job Summary: Access PT is seeking a highly motivated and experienced hands-on Patient Relations Represen...
  • 5/4/2024 12:00:00 AM

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Customer Relations Representative
  • PI Hollywood
  • Signal Hill, CA
  • We are a business and marketing firm that was founded almost a decade ago. We are looking to hire a Customer Relations R...
  • 5/4/2024 12:00:00 AM

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Customer Relations Representative
  • Standard Appliance, Inc.
  • Portland, OR
  • at least 1 year Then come work with us! Standard TV and Appliance has an opening for a CUSTOMER RELATIONS REPRESENTATIVE...
  • 5/3/2024 12:00:00 AM

Montana (/mɒnˈtænə/ (listen)) is a landlocked state in the Northwestern United States. Montana has several nicknames, although none are official, including "Big Sky Country" and "The Treasure State", and slogans that include "Land of the Shining Mountains" and more recently "The Last Best Place". Montana is the 4th largest in area, the 8th least populous, and the 3rd least densely populated of the 50 U.S. states. The western half of Montana contains numerous mountain ranges. Smaller island ranges are found throughout the state. In all, 77 named ranges are part of the Rocky Mountains. The easte...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$66,957 to $83,034

Provider Relations Representative, Sr. in Duluth, MN
Held meetings with providers to review new policies, products and issue resolution.
January 14, 2020
Provider Relations Representative, Sr. in Norwich, CT
The continued upward spiral in health care costs has challenged sponsors, providers and payers of health benefits to deliver high quality care in the most cost-effective manner possible.
January 21, 2020
Provider Relations Representative, Sr. in Poughkeepsie, NY
The specific duties of customer service representatives vary by industry.
December 25, 2019