Provider Relations Representative, Sr. jobs in Tennessee

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 Specialist
  • CareBridge Health
  • Nashville, TN FULL_TIME
  • Provider Relations Specialist

    The Provider Relations Specialist position educates external users on the CareBridge platform and responds to calls and tickets to answer payer and provider inquiries as part of the Support Center team. Will also act as the liaison between multiple organizations and interact with various internal and external stakeholders telephonically.

    The ideal candidate is experienced in healthcare, working with caregivers, and/or provider agencies responding to inquiries and guiding them on use of a technology solution.  

    Responsibilities:

    • Operate in a telephonic environment responding to payer and provider inquiries, concerns, complaints, etc.
    • Manage large amounts of inbound and outbound phone, email, and ticket inquires and document all correspondences within systems timely and accurately.
    • Provide on-going training and feedback for providers via phone on the use of the CareBridge EVV provider portal, mobile app, and IVR platform.
    • Meet personal/team support center qualitative and quantitative metrics.
    • Monitor and track service issues and inquiries and assists with the identification of educational opportunities/programs to improve overall services to the provider network.
    • Research reported issues and support tickets and coordinate with internal/external team members/customers to resolve highly complex and/or escalated and sensitive issues.
    • Collaborate with other Support Center professionals to improve customer service.
    • Continual evaluation of processes and procedures resulting in suggestions to improve operations, efficiency, and service to both internal and external customers.
    • Solve complex problems with a broad company perspective to identify innovative solutions.
    • Knowledgeable about the Home and Community Based Services (HCBS) provider community within local markets, including the various services provided and how they interact with the CareBridge platform.
    • Maintains excellent punctuality and attendance during work hours.
    • Other duties as assigned.

     

    Qualifications:

     

    Required:

    • Bachelor’s degree required or equivalent work experience.
    • Technical support background.
    • Previous customer or provider service experience required (inbound and outbound).
    • Extremely customer service focused and professional (phone etiquette).
    • Computer literacy.
    • Ability to be on the phone 70% - 80% of the day.
    • Ability to manage high call volumes during “busy seasons”.
    • Ability to multi-task, set priorities and manage time effectively.
    • Experience in a call center/being on a recorded line with productivity goals.
    • Excellent listening skills and ability to problem solve telephonically.
    • Excellent oral and written communication skills.
    • Team player with proven ability to develop strong working relationships within a matrix organization.
    • Technical/Functional expertise: Familiar with Customer Service Software and Call Center Management Tools, Windows and Office Applications.

     

    Preferred:

    • Previous claim, coding, billing experience.
    • 2 years healthcare experience, preferably managed care exposure.
    • General HCBS and/or Long-Term Support Services (LTSS) product and customer knowledge.
    • 1 year Previous Call Center experience.

     

    Those who thrive at CareBridge tend to possess these qualities:

     

    • An entrepreneurial spirit. Must be a tenacious self-starter.
    • Flexible and adaptable to a constantly changing workload.
    • Must enjoy working in a fast-paced environment.
    • A sense of humor and a down-to-earth nature.

     

    Employment Type: Exempt

     

    Location: Nashville, TN, Remote

     

    About CareBridge

    CareBridge is a provider of technology and services that assist payers and states in caring for patients receiving long-term support services. CareBridge’s services include electronic visit verification (EVV), data aggregation, 24/7-member support, and benefit management. CareBridge is led by a team of healthcare service and technology veterans and is headquartered in East Nashville.

  • 24 Days Ago

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Provider Relations Tech Support
  • CareBridge Health
  • Nashville, TN FULL_TIME
  • Company DescriptionCareBridge is a provider of technology and services that assist payers and states in caring for patients receiving long-term support services. CareBridge’s services include electron...
  • 7 Days Ago

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Dir Provider Relations Mkt
  • Turkey Creek Medical Center
  • Knoxville, TN FULL_TIME
  • Supports market/hospital leaders and outreach team members to effectively align and achieve goals by establishing and maintaining provider relationships; planning and coordinating strategic service li...
  • 10 Days Ago

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Dir Provider Relations Mkt
  • Tennova Knoxville Physician RMC - Turkey Creek
  • KNOXVILLE, TN FULL_TIME
  • Supports market/hospital leaders and outreach team members to effectively align and achieve goals by establishing and maintaining provider relationships; planning and coordinating strategic service li...
  • 12 Days Ago

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Clinical Recruiter and Provider Relations Manager
  • LifeLinc Corporation
  • Memphis, TN FULL_TIME
  • Overview The Clinical Recruiter and Provider Relations Manager is responsible for the recruitment of anesthesia providers across multiple LifeLinc Anesthesia practice locations along with managing dai...
  • 14 Days Ago

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Freelance Side Jobs - Customer Service Representative
  • Customer Service Representative - Fud
  • Memphis, TN OTHER
  • Fud, the World's First Social Hustling Community, is seeking a Freelance Side Jobs - Customer Service Representative to join our community. As an expert and mentor in our community, you will play a vi...
  • 9 Days Ago

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Customer Relations Representative
  • Priam, Inc.
  • Torrance, CA
  • We are a business and marketing firm that was founded almost a decade ago. We are looking to hire a Customer Relations R...
  • 3/28/2024 12:00:00 AM

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Customer Relations Representative
  • California Lifestyle Foundation
  • Concord, CA
  • Are you a dedicated, self-driven individual with a passion for providing outstanding customer support? Do you have a rep...
  • 3/28/2024 12:00:00 AM

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Guest Relations Representative
  • Great Escape
  • Queensbury, NY
  • What You Will Be Doing Assist Guests with the purchase of in park Admission and Group Sales Tickets as well as On-line T...
  • 3/27/2024 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...
  • 3/27/2024 12:00:00 AM

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Customer Relations Representative
  • Catalyst Career Group
  • Dallas, TX
  • Job Description Job Description Collaborative. Respectful. A place to dream and do. These are just a few words that desc...
  • 3/27/2024 12:00:00 AM

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Customer Relations Representative
  • Vespa Consulting Inc
  • Jacksonville Beach, FL
  • Job Description Job Description At Vespa Consulting we are dedicated to developing solutions that make it easy for custo...
  • 3/26/2024 12:00:00 AM

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Customer Relations Representative
  • Smooth Vision Marketing Inc
  • Jacksonville, FL
  • Job Description Job Description We are looking for a Customer Relations Representative with experience in the restaurant...
  • 3/26/2024 12:00:00 AM

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Guest Relations Representative
  • Six Flags Great Adventure
  • Jackson, NJ
  • Assist Guests with questions, comments, concerns they may have about their experience while visiting Six Flags. Resolve ...
  • 3/24/2024 12:00:00 AM

Tennessee borders eight other states: Kentucky and Virginia to the north; North Carolina to the east; Georgia, Alabama, and Mississippi on the south; Arkansas and Missouri on the Mississippi River to the west. Tennessee is tied with Missouri as the state bordering the most other states. The state is trisected by the Tennessee River. The highest point in the state is Clingmans Dome at 6,643 feet (2,025 m). Clingmans Dome, which lies on Tennessee's eastern border, is the highest point on the Appalachian Trail, and is the third highest peak in the United States east of the Mississippi River. The ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$65,598 to $81,350

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