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)
Documents the best practices and techniques used in creating customer relations.
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Level 2 Behaviors
(Light Experience)
Collects customer feedback to measure customer satisfaction and ensure customer relations.
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Level 3 Behaviors
(Moderate Experience)
Ensures accurate and prompt responses to customer complaints to maintain optimal customer relations.
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Level 4 Behaviors
(Extensive Experience)
Determines key opportunities to build and maintain customer relationships and drive business results.
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Level 5 Behaviors
(Mastery)
Champions the adoption of advanced systems and tools to improve the development of customer relations.
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2
Job Family Competencies –
Contract Management
Proficiency Level -1
Level 1 Behaviors
(General Familiarity)
Describes the concepts and fundamentals of contract management.
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Level 2 Behaviors
(Light Experience)
Assists in contract management to ensure compliance of all parties with regulatory requirements.
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Level 3 Behaviors
(Moderate Experience)
Maintains the relevant tools and processes to support contract management.
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Level 4 Behaviors
(Extensive Experience)
Evaluates the performance of current contracts with the management team.
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Level 5 Behaviors
(Mastery)
Designs latest processes and tools to help team members facilitate accurate contract management.
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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)
Explains why attention to detail plays an important role in own function or unit.
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Level 2 Behaviors
(Light Experience)
Performs assigned responsibilities according to standard procedures and standards.
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Level 3 Behaviors
(Moderate Experience)
Implements a variety of cross-checking approaches and mechanisms.
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Level 4 Behaviors
(Extensive Experience)
Demonstrates expertise in quality assurance tools, techniques, and standards.
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Level 5 Behaviors
(Mastery)
Designs techniques for measuring the cost and impact of errors.
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2
Core Competencies –
Time Management
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Discusses workplace barriers and issues that may affect time management.
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Level 2 Behaviors
(Light Experience)
Employs the 80-20 rule to avoid perfectionism and minimize time-wasting.
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Level 3 Behaviors
(Moderate Experience)
Handles workplace obstacles to maintain focus and manage time efficiently.
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Level 4 Behaviors
(Extensive Experience)
Improves processes to organize workloads of teams efficiently.
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Level 5 Behaviors
(Mastery)
Keeps current on the latest working models on time management to drive organizational productivity.
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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.
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