Skills & Competencies for Provider Relations Representative, Sr.

Provider Relations Representative, Sr. job profile

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JOB SUMMARY for Provider Relations Representative, Sr.

Supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network.

JOB RESPONSIBILITIES for Provider Relations Representative, Sr.

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.

Provider Relations Representative, Sr. SALARY RANGE

BASE 50%
$77,333
TOTAL 50%
$80,035
Job Level
P02
Job Code
HC07000512
Education/Degree
Bachelor's Degree
Reports To
Supervisor or Manager

Provider Relations Representative, Sr. Skills and Competencies List

Proficiency Levels and Behavioural Indicators
Salary.com identifies five increasing levels of proficiency for each skill/competency. Some jobs require only a relatively low level of proficiency in each skill/competency, while other jobs will require a more advanced level of proficiency in the same skill/competency. These levels rate the degree of proficiency (skill level, expertise) we expect the incumbent to perform in the given skill/competency for the given job. Note that we intentionally do not associate timeframes or years of experience in performing the skill/competency because that can be misleading. Proficiency levels identify what the incumbent knows and can do rather than how long they have been doing it. Also, note that the proficiency levels are cumulative, e.g., a level 4 proficiency implies the ability to perform all the behaviors at the lower levels.
Check each Provider Relations Representative, Sr. skill and competencie below to view definitions.
JOB FAMILY COMPETENCIES CORE COMPETENCIES
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7 general skills or competencies (Job family competencies) for Provider Relations Representative, Sr.

1 Job Family Competencies – Customer Relations
Proficiency Level -2
Skill definition-Creating mutually beneficial relationships with customers to improve their overall experience.
Level 1 Behaviors
(General Familiarity)
Explains the importance of customer relations in delivering good customer service.
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Level 2 Behaviors
(Light Experience)
Reports customer escalations to identify and mitigate negative impacts on customer relations.
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Level 3 Behaviors
(Moderate Experience)
Handles customer issues and concerns effectively to maximize customer satisfaction and relations.
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Level 4 Behaviors
(Extensive Experience)
Facilitates strategic customer relationships to uncover and meet customer expectations.
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Level 5 Behaviors
(Mastery)
Creates best practices to balance customer needs with our interests to create positive relationships.
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2 Job Family Competencies – Contract Management
Proficiency Level -2
Skill definition-Managing agreements, from their creation to execution by the chosen party and the eventual termination of the contract.
Level 1 Behaviors
(General Familiarity)
Cites examples of best practices used in creating business contracts.
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Level 2 Behaviors
(Light Experience)
Applies legal knowledge to support the contract management process.
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Level 3 Behaviors
(Moderate Experience)
Implements risk strategies to drive continuous improvement in contract performance.
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Level 4 Behaviors
(Extensive Experience)
Creates business metrics to assess the effectiveness of proposed contract management strategies.
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Level 5 Behaviors
(Mastery)
Builds innovative plans to improve internal policies and processes of contract lifecycle management.
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3 Provider Relations Representative, Sr. - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Provider Relations Representative, Sr.
Proficiency Level - 4
5 Competency for - Provider Relations Representative, Sr.
Proficiency Level - 5

5 soft skills or competencies (core competencies) for Provider Relations Representative, Sr.

1 Core Competencies – Attention to Detail
Proficiency Level -2
Skill definition-Executing and completing a task with a high level of accuracy.
Level 1 Behaviors
(General Familiarity)
Cites steps and tips to improve attention to detail in the workplace.
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Level 2 Behaviors
(Light Experience)
Keeps full attention when listening to understand the message.
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Level 3 Behaviors
(Moderate Experience)
Balances between accuracy and efficiency for different tasks or programs.
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Level 4 Behaviors
(Extensive Experience)
Creates and implements quality management processes for our business.
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Level 5 Behaviors
(Mastery)
Defines possible hurdles to projects and creates strategies to deal with them.
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2 Core Competencies – Time Management
Proficiency Level -2
Skill definition-Managing and setting priorities, goals, and timetables to boost productivity and efficiency in completing tasks.
Level 1 Behaviors
(General Familiarity)
Cites examples of prioritization methods used to manage and save time in the workplace.
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Level 2 Behaviors
(Light Experience)
Adheres to schedules to allocate time for specific tasks efficiently.
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Level 3 Behaviors
(Moderate Experience)
Assesses relevance of tasks to prioritize and produce better quality work.
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Level 4 Behaviors
(Extensive Experience)
Creates programs to develop our employees' understanding of time demand and management.
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Level 5 Behaviors
(Mastery)
Builds a system to manage our business's workload and eliminate time-wasting activities.
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3 Provider Relations Representative, Sr. - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Provider Relations Representative, Sr.
Proficiency Level - 4
5 Competency for - Provider Relations Representative, Sr.
Proficiency Level - 5

Summary of Provider Relations Representative, Sr. skills and competencies

There are 0 hard skills for Provider Relations Representative, Sr..
7 general skills for Provider Relations Representative, Sr., Customer Relations, Contract Management, Healthcare Industry, etc.
5 soft skills for Provider Relations Representative, Sr., Attention to Detail, Time Management, Initiative, etc.
While the list totals 12 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Provider Relations Representative, Sr., he or she needs to be proficient in Attention to Detail, be proficient in Time Management, and be proficient in Initiative.

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