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)
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:
Qualifications:
Required:
Preferred:
Those who thrive at CareBridge tend to possess these qualities:
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.