What does a Provider Relations Representative, Sr. Do?
Supports, develops, and maintains service relationships with physicians, providers, and administrators of a provider network. Collects feedback from network stakeholders to survey satisfaction and facilitate communication. Responds to inquiries about referrals, eligibility, credentialing, and other policy matters and escalates or directs complex questions as necessary. Tracks and documents inquiries to ensure issues are resolved in a timely manner and creates routine reports to identify trends for management. Trains healthcare providers and physicians on network operating policies and procedur ...es to ensure optimal network service standards. May provide guidance or expertise to less experienced representatives. Requires a bachelor's degree. Typically reports to a manager. Occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Typically requires 2-4 years of related experience.More Show Less
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Your Role. The Provider Support team for Claims and Payment Models is a specialized unit within the Network Management and Provider Partnerships organization that is accountable for improving the provider experience and streamlining operations. The Provider Relations Representative, Senior, will report to the Senior Manager. In this role, you will serve as a liaison between the company and the provider community to resolve questions or problems s...
Your Role. The Provider Support team for Claims and Payment Models is a specialized unit within the Network Management and Provider Partnerships organization that is accountable for improving the provider experience and streamlining operations. The Provider Relations Representative, Senior, will report to the Senior Manager. In this role, you will serve as a liaison between the company and the provider community to resolve questions or problems s...
