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%
$77,157
TOTAL 50%
$79,853
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)
Lists the pros and cons of using customer relationships management systems.
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Level 2 Behaviors
(Light Experience)
Supports CRM systems and applications to interact with customers.
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Level 3 Behaviors
(Moderate Experience)
Works closely with customers to use their insights in building strong customer relationships.
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Level 4 Behaviors
(Extensive Experience)
Trains staff on best practices in relationship management to establish customer connections.
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Level 5 Behaviors
(Mastery)
Leads our organization in promoting good relations with customers to optimize overall customer experience.
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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)
Lists the benefits of implementing an effective contract management strategy in your organization.
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Level 2 Behaviors
(Light Experience)
Supports in negotiating contracts to ensure cost-effective operations.
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Level 3 Behaviors
(Moderate Experience)
Works with internal organizations to obtain support in contract execution and management processes.
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Level 4 Behaviors
(Extensive Experience)
Reviews contracts to maximize business performance and minimize financial risk.
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Level 5 Behaviors
(Mastery)
Leads the execution of contracts to maximize business performance and minimize financial risk.
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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)
Lists the traits of an employee showing great attention to detail.
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Level 2 Behaviors
(Light Experience)
Utilizes specific approaches and tools for checking and cross-checking outputs.
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Level 3 Behaviors
(Moderate Experience)
Uses tools to organize and monitor work progress.
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Level 4 Behaviors
(Extensive Experience)
Manages training to improve staffs' concentration and attention to detail.
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Level 5 Behaviors
(Mastery)
Learns from previous works' strengths and weaknesses to guide new projects.
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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)
Lists basic planning tools and applications used in tracking and organizing time and tasks visually.
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Level 2 Behaviors
(Light Experience)
Seeks all resources needed to accomplish a task efficiently and effectively.
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Level 3 Behaviors
(Moderate Experience)
Works closely with colleagues to identify and reduce interruptions and barriers to time utilization.
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Level 4 Behaviors
(Extensive Experience)
Provides strategic direction to the workforce in managing time to avoid low-value work.
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Level 5 Behaviors
(Mastery)
Monitors the performance of business units to determine and eliminate deviations from priorities.
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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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