Provider Relations Representative, Sr. jobs in West Palm Beach, FL

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)

Recently Added Provider Relations Representative, Sr. jobs

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Provider Relations Representative
  • ttg Talent Solutions
  • Beach, FL FULL_TIME
  • Physician Relations Representative
    Full time - Monday- Friday
    Field rep- 3 travel days within the territory
    3 positions: Miami-Dade, Broward, Palm Beach


    The Physician Relations Representative is responsible for fostering a strong and satisfied network of healthcare providers in a designated area. They serve as the main liaison between practices, the company, and health plan partners. Their main focus is to work closely with providers to improve performance in areas like cost reduction, revenue optimization, quality enhancement, and provider satisfaction.

    Requirements

    • 4 years in healthcare or a related field
    • 2 years in Provider Relations, Network Management, Contracting, or Credentialing
    • Experience with an ACO, MSO, Managed Care, Medicare Advantage Plan or related
    • Bachelor's degree in Marketing, Healthcare or related ( or work experience)
    • Valid driver's license and reliable transportation required
    • Ability to travel up to 60% within designated counties- 3 days in the field/ 2 admin days remote
    • Strong interpersonal and communication skills
    • Experience in presentations
    • Analytical and problem-solving skills
    • Time management and organizational skills
    • Attention to detail and reliability
    • Proficiency in MS Office programs and Excel
    • Knowledge of HEDIS, CMS Star Rating System, and Medicare Risk Adjustment preferred
    • Bilingual in Spanish and English, for Miami territory



    Key Responsibilities:

    • Provider Education and Support: Provide comprehensive education and tools to help providers meet quality and financial goals.
    • Accountability and Performance: Understand and improve the financial performance of practices, ensuring they meet key performance indicators.
    • Provider Training and Orientation:Conduct orientation sessions and ongoing training for providers and their staff.
    • Provider Retention: Work to retain providers by ensuring their satisfaction with the organization.
    • Provider Collaboration: Facilitate meetings to enhance patient outcomes and operational efficiencies.
    • Performance Improvement Plans:Develop, implement, and monitor improvement plans for provider groups.
    • Provider Negotiations:Negotiate contract terms and analyze proposals.
    • Communication and Issue Resolution: Maintain open communication channels and resolve issues promptly.
    • Strategic Planning: Collaborate to implement strategic interventions.
    • Onsite Provider Visits: Spend most of the workweek visiting providers, with clear objectives for each visit.
    • Engagement with Specialists: Focus on engaging high-quality specialists and improving coordination of care.
    Compensation:
    Base salary $70K (salary under review) plus bonus; $350 Car allowance, 18 days PTO, fully subsidized health benefits, Holidays, 401k

    Please submit your resume in a word document . If you are a match, a ttg Talent Solutions recruiter will contact you by phone, email or text. Please monitor your inbox.




    At ttg, “We believe in making a difference One Person at a Time” ttg OPT.
  • 25 Days Ago
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Provider Relations Representative
  • Hispanic Care Coordinators Inc.
  • Beach, FL FULL_TIME
  • `Duties:- Direct daily interaction with Health Care Providers and agency staff.- Educate community about our services and serve as a liaison between potential participants, the program and community r...
  • 2 Months Ago
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Provider Relations Liaison
  • MD Now
  • Palm Beach Gardens, FL FULL_TIME
  • Introduction Do you have the career opportunities as a Provider Relations Liaison you want with your current employer? We have an exciting opportunity for you to join MD Now which is part of the natio...
  • Just Posted
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Provider Relations Liaison
  • CareNow
  • Beach, FL FULL_TIME
  • Introduction Do you have the career opportunities as a Provider Relations Liaison you want with your current employer? We have an exciting opportunity for you to join MD Now which is part of the natio...
  • Just Posted
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Provider Relations Rep
  • Cano Health
  • Jupiter, FL FULL_TIME
  • this position will Mirror the Provider Support Specialist Rep Position.
  • 1 Month Ago
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Client Relations and Logistics Representative
  • Man of War
  • Boca Raton, FL PART_TIME
  • Job Summary: We are seeking a highly motivated and customer-oriented individual to join our team as a Customer Relations Representative. As a Customer Relations Representative, you will be responsible...
  • 11 Days Ago
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0 Provider Relations Representative, Sr. jobs found in West Palm Beach, FL area

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Client Relations Representative
  • NSD NEWCO
  • Boca Raton, FL
  • Description Description: The Client Relations Representative position is responsible for investigating and resolving com...
  • 4/19/2024 12:00:00 AM
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Patient Access Representative II -7p-730a, Fri/Sat/Sun
  • Tenet Healthcare Corporation
  • West Palm Beach, FL
  • JOB SUMMARY Responsible for duties in support of departmental efficiencies which may include: but not limited to perform...
  • 4/19/2024 12:00:00 AM
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Patient Advocate Representative - M-F 9a-530p
  • Tenet Healthcare Corporation
  • West Palm Beach, FL
  • JOB SUMMARY Responsible for screening self-pay patients at hospital bedside for eligibility in various governmental and ...
  • 4/19/2024 12:00:00 AM
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Patient Access Representative II- FT 80 hrs, Days, 8a-430p
  • Tenet Healthcare Corporation
  • West Palm Beach, FL
  • As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry exp...
  • 4/19/2024 12:00:00 AM
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Patient Access Representative II - M-F 8a-4:30pm
  • Tenet Healthcare Corporation
  • West Palm Beach, FL
  • JOB SUMMARY Responsible for duties in support of departmental efficiencies which may include: but not limited to perform...
  • 4/18/2024 12:00:00 AM
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Patient Access Representative II ER, Sun/Mon/Tues, 7p-730a
  • Tenet Healthcare Corporation
  • West Palm Beach, FL
  • JOB SUMMARY Responsible for duties in support of departmental efficiencies which may include: but not limited to perform...
  • 4/18/2024 12:00:00 AM
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Member Services Representative (Part Time)
  • Planet Fitness Inc.
  • West Palm Beach, FL
  • Job Summary The Member Services Representative will be responsible for creating a positive member experience by providin...
  • 4/17/2024 12:00:00 AM
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Patient Service Representative
  • CDI
  • West Palm Beach, FL
  • RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Patient Service Representa...
  • 4/16/2024 12:00:00 AM
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About West Palm Beach, Florida

West Palm Beach is a city in and the county seat of Palm Beach County, Florida, United States. It is located immediately to the west of the adjacent Palm Beach, which is situated on a barrier island across the Lake Worth Lagoon. The population was 99,919 at the 2010 census. West Palm Beach is a principal city of the Miami metropolitan area, which was home to an estimated 6,158,824 people in 2017. It is the oldest incorporated municipality in Greater Miami, having been incorporated as a city two years before Miami in November 1894. West Palm Beach is located approximately 68 miles (109 km) nort...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$69,377 to $86,036
West Palm Beach, Florida area prices
were up 1.5% from a year ago
View detail

What does a Provider Relations Representative, Sr. do?

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