Provider Relations Representative jobs in Montana

Provider Relations Representative supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. Typically requires a bachelor's degree. Being a Provider Relations Representative typically reports to a supervisor or manager. The Provider Relations Representative works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Provider Relations Representative typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Provider Relations Liaison
  • billingsclinic
  • BILLINGS, MT FULL_TIME
  • The Provider Relations Liaison is the point person and key liaison between Billings Clinic and referring providers in a designated geographical area. Provides strategy support to administrative and service line leadership for services provided throughout the region. Delivers key Billings Clinic messaging, develop relationships with practice leaders, physicians, and staff, reinforce appropriate utilization of Billings Clinic services, coordinate issue resolution, and act as a liaison between the referring office and Billings Clinic. Qualifies potential referral generating sources, strengthens relationships with existing referral sources, determines provider and patient needs, and effectively communicates solutions. Accountable for referral relations program and communication processes. Develops and coordinates and distributes communications and tools to support the flow of referrals and communication back to referring providers. Gathers and shares local and regional marketing intelligence to support development and implementation of marketing and planning strategies. Engages with Regional Leadership for defined geographic area to support organizational goals. Held accountable to monthly goals and quotas that are determined by leadership.

    Essential Job Functions

    • Identifies and routinely interacts with targeted referring physicians both locally and in the region. Provides overview of Billings Clinic capabilities and services and provides follow-up to clinical leadership for any service improvements. In collaboration with physician leadership, other medical/ancillary staff and other health care providers, develops and implements short and long range plans, and leads, develops and revises programs which enhance services.
    • Assists in the execution of specialty service line marketing plans to retain and increase specialty and tertiary referrals and expand market capture and geographic presence.
    • Participates in building relationships to maintain and strengthen both internal and external referral relationships. Gathers market intelligence from region and integrates into planning processes and identifies trends in the market that impact market strategy with local leaders.
    • Partners with clinical service line director/manager to clarify and resolve referring physician problems/complaints.
    • Assists in the retention of patients from on aspect of care to another in a convenient, customer responsive expedited manner.
    • Provides best access to Billings Clinic services.
    • Helps Billings Clinic make it easy for patients and providers to enter and stay in our integrated network.
    • Gains a deep understanding of the patient and provider experience accessing and staying in Billings Clinic system.
    • Understands business needs of referral sources and how Billings Clinic can meet those needs.
    • Builds and maintains strong professional relationships and formulates a strategy to increase appropriate utilization.
    • Utilizing reports and feedback from internal and external sources.
    • Identifies opportunities that gains a deep understanding how services are accessed by patients and providers, and how those services can improve clinical outcomes for patients in our communities.
    • Assists leadership in developing assigned territory that fit within the scope of the overall company strategy.
    • Identifies opportunities, issues, and sources of leakage.
    • Provides communication with leadership to resolve referring office issues and customer service shortfalls.
    • Maintains call logs and visit notes as instructed by Outreach leadership.
    • Correlates closely with hospital leadership in delivering a standard Billings Clinic message.

  • 21 Days Ago

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Provider Network Representative (Hybrid)
  • Health Care Service Corp.
  • Helena, MT FULL_TIME
  • At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning p...
  • Just Posted

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Customer Service Representative - Roadside Assistance Provider
  • The Virtual Call Center, Inc
  • Helena, MT FULL_TIME
  • Here at The Virtual Call Center, we're in the business of embracing change by transforming how individuals provide quality customer service to Top Name Brands and Fortune 500 companies, by offering an...
  • 25 Days Ago

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Nurse Practitioner Heart Failure Cardiology
  • Provider Solutions & Development
  • Missoula, MT OTHER
  • Providence Heart Institute of Montana is seeking a full-time nurse practitioner or physician assistant to join their newly established heart failure team. At Providence Heart Institute, our cardiovasc...
  • 21 Days Ago

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Cardiothoracic Surgeon
  • Provider Solutions & Development
  • Missoula, MT FULL_TIME
  • Join the Providence Heart Institute of Montana as a full time board-certified Cardiothoracic Surgeon and Medical Director of Cardiothoracic Surgery. This is a globally recognized joint Surgical/Cardio...
  • 2 Days Ago

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Internal Medicine Physician
  • Provider Solutions & Development
  • Missoula, MT FULL_TIME
  • Providence Medical Group Internal Medicine clinic is seeking a full-time, board-certified/board-eligible Internal Medicine physician to join its team in Missoula, Montana. This is an outpatient only r...
  • 2 Days Ago

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Provider Relations Representative
  • American Health Plans
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 4/25/2024 12:00:00 AM

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Provider Relations Representative
  • American Health Plans
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 4/25/2024 12:00:00 AM

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Medicare Provider Relations Representative
  • The Cigna Group
  • Wilmington, DE
  • SUMMARY: This position is an external provider facing role with account management responsibilities for a medium to low ...
  • 4/25/2024 12:00:00 AM

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Medicare Provider Relations Representative
  • The Cigna Group
  • Pittsburgh, PA
  • SUMMARY: This position is an external provider facing role with account management responsibilities for a medium to low ...
  • 4/25/2024 12:00:00 AM

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Provider Relations Representative
  • MBI Health Services
  • Los Angeles, CA
  • Job Description Job Description Position Title: Provider Relations Representative Job Type: Full-Time / Hybrid Departmen...
  • 4/24/2024 12:00:00 AM

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Provider Relations Representative - Newark, DE - Hybrid
  • HMS
  • Newark, DE
  • Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances...
  • 4/24/2024 12:00:00 AM

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Provider Relations Representative (Full Time, Hybrid)
  • Sheppard Pratt
  • Towson, MD
  • General Summary: This position is responsible for the implementation and development of community and professional relat...
  • 4/23/2024 12:00:00 AM

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Provider Relations Representative
  • University Health System
  • San Antonio, TX
  • Full Time 12238 Silicon Drive Professional Non-Nursing Day Shift POSITION SUMMARY/RESPONSIBILITIES Provider Relations Re...
  • 4/22/2024 12:00:00 AM

Montana (/mɒnˈtænə/ (listen)) is a landlocked state in the Northwestern United States. Montana has several nicknames, although none are official, including "Big Sky Country" and "The Treasure State", and slogans that include "Land of the Shining Mountains" and more recently "The Last Best Place". Montana is the 4th largest in area, the 8th least populous, and the 3rd least densely populated of the 50 U.S. states. The western half of Montana contains numerous mountain ranges. Smaller island ranges are found throughout the state. In all, 77 named ranges are part of the Rocky Mountains. The easte...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$50,025 to $63,999