Skills & Competencies for Provider Relations Representative
Provider Relations Representative job profile
Book a Demo and Receive a Sample Job ProfileJOB SUMMARY for Provider Relations Representative
Supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network.
JOB RESPONSIBILITIES for Provider Relations Representative
Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc.
Provider Relations Representative SALARY RANGE
BASE 50%
$59,796
TOTAL 50%
$60,767
Job Level
P01
Job Code
HC07000511
Education/Degree
Bachelor's Degree
Reports To
Supervisor or Manager
Provider Relations Representative Skills and Competencies List
7 general skills or competencies (Job family competencies) for Provider Relations Representative
1
Job Family Competencies –
Customer Relations
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Explains the process of creating and maintaining customer relationships.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Selects appropriate resources to understand customer behavior and create good relations.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Maintains a high level of engagement with key customers to grow our customer base.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Plans customer engagement activities to create value in all interactions and increase loyalty.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Forecasts trends in customer relationship management to adapt our strategies with customer behaviors.
See 4 More Skill Behaviors
2
Job Family Competencies –
Contract Management
Proficiency Level -1
Level 1 Behaviors
(General Familiarity)
Explains the standard principles and procedures of contract management.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Reports contracts for termination or renewals to senior management.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Reviews contractual terms and agreements to ensure adherence to contract lifecycle management.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Oversees execution of contract management strategies to achieve financial and operational goals.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Establishes internal policies to ensure seamless contract management within your organization.
See 4 More Skill Behaviors
3
Provider Relations Representative
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Provider Relations Representative
Proficiency Level - 4
5
Competency for -
Provider Relations Representative
Proficiency Level - 5
5 soft skills or competencies (core competencies) for Provider Relations Representative
1
Core Competencies –
Attention to Detail
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Lists best practices and tools to maintain high accuracy and thoroughness in the workplace.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Uses checklists to ensure that information goes out error-free.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Suggests solutions to issues that arise while executing the tasks.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Employs techniques for motivating personnel to meet or exceed accuracy goals.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Leads the creation of tools for enhancing and assuring accuracy.
See 4 More Skill Behaviors
2
Core Competencies –
Time Management
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Explains the importance of time management in driving the overall productivity of our business.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Follows an updated calendar to list and complete tasks and assignments according to priority level.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Utilizes departmental tools and best practices to organize tasks effectively and productively.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Manages teams in streamlining work-related tasks to prioritize highest value tasks firsts.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Leads transformational changes to work plans to drive the proper utilization of time and resources.
See 4 More Skill Behaviors
3
Provider Relations Representative
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Provider Relations Representative
Proficiency Level - 4
5
Competency for -
Provider Relations Representative
Proficiency Level - 5
Summary of Provider Relations Representative skills and competencies
There are 0 hard skills for Provider Relations Representative.
7 general skills for Provider Relations Representative, Customer Relations, Contract Management, Healthcare Industry, etc.
5 soft skills for Provider Relations Representative, 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, he or she needs to be proficient in Attention to Detail, be proficient in Time Management, and be proficient in Initiative.
7 general skills for Provider Relations Representative, Customer Relations, Contract Management, Healthcare Industry, etc.
5 soft skills for Provider Relations Representative, 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, he or she needs to be proficient in Attention to Detail, be proficient in Time Management, and be proficient in Initiative.
It's Easy to Get Started
Get the precision you need to assess, hire, and develop top talent with skills and competencies – see how with a personalized demo.