How to Become a Provider Relations Representative

Step 1: Understand the job description and responsibilities of a Provider Relations Representative

What does a Provider Relations Representative do?

A Provider Relations Representative 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 typically requires a bachelor's degree. Typically reports to a supervisor or manager. The Provider Relations Representative 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 typically requires 2 to 4 years of related experience.

People's Opinions on Provider Relations Representative responsibilities

Customer service representatives interact with customers to handle complaints, process orders, and provide information about an organization’s products and services.

12/11/2019: Bridgeport, CT

Customer service representatives typically do the following.

02/20/2020: Portsmouth, OH

Customer service representatives answer questions or requests from customers or the public.

01/10/2020: Wilmington, DE

The specific duties of customer service representatives vary by industry.

12/25/2019: Poughkeepsie, NY

For example, representatives who work in banks may answer customers’ questions about their accounts.

12/24/2019: Grand Forks, ND
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Step 2: Learn best tips to become a Provider Relations Representative

Best tips for those who want to become a Provider Relations Representative

Here are some tips to become a Provider Relations Representative.

Step 3: View best colleges and universities for Provider Relations Representative

Best colleges and universities for Provider Relations Representative

  • Butler University
  • Carroll College
  • Cooper Union
  • High Point University
  • Princeton University
  • Providence College

Step 4: Think about whether is it worth to be a Provider Relations Representative

Is being a Provider Relations Representative Worth it?

People's Opinions on lifestyles

Job Summary This position responds to and resolves advanced to complex level issues related to the daily administration and operation of potential and existing providers and may involve provider education, interpreting and developing policies, procedures and guidelines.

01/20/2020: Salt Lake City, UT

This includes, but is not limited to coordinating orientation and education of providers, hospitals and the organizations insurance plan administration staff.

03/02/2020: Bangor, ME

Maintains all levels of communication with network providers, informing them of any operational, procedural, and contractual changes and updates.

12/28/2019: Alamogordo, NM

Assists manager with network development in various geographic regions within the organization, negotiates, implements and maintains managed care contracts with payers and providers.

12/15/2019: Kansas City, KS

PROVIDER RELATIONS REPRESENTATIVE Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care.

12/13/2019: Portsmouth, NH
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Step 5: Prepare relevant skills for being a Provider Relations Representative

What skills do you need to be a Provider Relations Representative?

Management often looks to professional level roles for execution on their visions and goals, as such some specific skills are required.  The workload of this role requires knowledge of: Provider Management.  If you highlight these skills during your interview process, you will be more likely to land the job!

People's Opinions on Provider Relations Representative skills

CCPN is committed to developing and implementing a robust provider relations team and strategy state-wide with the understanding that provider relations staff….

01/24/2020: Santa Barbara, CA

One to two years provider relations experience interacting and problem-solving with providers.

11/29/2019: Mobile, AL

Experience educating health care providers, establishing contractual agreements, coordinating and conducting provider recruitment preferred.

02/16/2020: Denver, CO

Strong customer service focus and customer relations skills.

01/03/2020: Lowell, MA

Established and fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on site enrollment opportunities for marketing.

02/12/2020: Billings, MT
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Step 6: View average salary for Provider Relations Representative

How much does a Provider Relations Representative make?

The average salary range for a Provider Relations Representative is from $64,177 to $78,447. The salary will change depending on your location, job level, experience, education, and skills.

Salary range for a Provider Relations Representative
$64,177 to $78,447

Step 7: Find relevant Provider Relations Representative jobs, and apply.

Looking for Provider Relations Representative jobs?

Here are some Provider Relations Representative jobs in the United States.

Search Provider Relations Representative Jobs in the United States

Step 8: Explore Career Path of Provider Relations Representative

Step 8: Explore Career Path of Provider Relations Representative? Provider Relations Representative, Sr.