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

Provider Relations Representative III 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 III 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 III requires a bachelor's degree. Typically reports to a manager. The Provider Relations Representative III work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. To be a Provider Relations Representative III typically requires 4-7 years of related experience.

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