Also referred to as:
Healthcare Provider Services Manager, Provider Network Services Manager
Requirements and Responsibilities
Provider Services Manager manages the team responsible for providing customer service to healthcare providers within a network. Responds to provider inquiries regarding benefits, claims, and services. Being a Provider Services Manager documents, summarizes, and reports causes of provider inquiries and issues to identify areas for service improvement. Provides written documents and resources to inform, update, and support the network of healthcare providers. Additionally, Provider Services Manager ensures inquiries are responded to timely and in alignment with organizational procedures and standards. Requires a bachelor's degree. Typically reports to a director. The Provider Services Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Provider Services Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes.
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