Also referred to as: Provider Network Relations Representative I, Provider Relations Specialist I
Requirements and Responsibilities

Provider Relations Representative I is responsible for developing and maintaining service relationships with physicians, providers, and administrators of a provider network. Collects feedback from network stakeholders to survey satisfaction and facilitate communication. Being a Provider Relations Representative I responds to inquiries about referrals, eligibility, credentialing, and other policy matters. Tracks and documents inquiries to ensure issues are resolved in a timely manner and adhere to applicable policies and procedures. Additionally, Provider Relations Representative I requires a bachelor's degree. Typically reports to a manager. The Provider Relations Representative I work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Provider Relations Representative I typically requires 0-2 years of related experience.

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