Provider Relations Representative supports, develops, and maintains 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 responds to inquiries about referrals, eligibility, credentialing, and other policy matters and escalates or directs complex questions as necessary. Tracks and documents inquiries to ensure issues are resolved in a timely manner and creates routine reports to identify trends for management. Additionally, Provider Relations Representative trains healthcare providers and physicians on network operating policies and procedures to ensure optimal network service standards. Requires a bachelor's degree. Typically reports to a manager. The Provider Relations Representative work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Provider Relations Representative typically requires 0-2 years of related experience.
Provider Relations Representative, Sr. supports, develops, and maintains 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, Sr. responds to inquiries about referrals, eligibility, credentialing, and other policy matters and escalates or directs complex questions as necessary. Tracks and documents inquiries to ensure issues are resolved in a timely manner and creates routine reports to identify trends for management. Additionally, Provider Relations Representative, Sr. trains healthcare providers and physicians on network operating policies and procedures to ensure optimal network service standards. May provide guidance or expertise to less experienced representatives. Requires a bachelor's degree. Typically reports to a manager. The Provider Relations Representative, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Provider Relations Representative, Sr. typically requires 2-4 years of related experience.
Patient Relations Representative acts as a liaison between patients, families, and the healthcare organization to support patient-centric care delivery. Communicates patients' questions, concerns, and issues to appropriate staff members, follows up, and facilitates solutions as needed. Being a Patient Relations Representative explains policies, procedures, rights, and applicable regulations to patients and provides informational resources about available services. Working with multi-disciplinary teams may make recommendations for improvements to the patient experience. Additionally, Patient Relations Representative may participate in discharge processes or administer patient satisfaction surveys. Follows all applicable regulations regarding patient information privacy policies. Requires a high school diploma. Typically reports to a supervisor. The Patient Relations Representative works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Patient Relations Representative typically requires 3-5 years of related experience.
Broker Relations Representative establishes or maintains a business relationship with new or existing brokers. Provides commissions for brokers in an accurate and timely manner. Being a Broker Relations Representative troubleshoots all the administrative and specialized issues from brokers and clients. Handles concerns, issues and questions from brokers and customers. Additionally, Broker Relations Representative requires a bachelor's degree. Typically reports to a supervisor or manager. The Broker Relations Representative gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Broker Relations Representative typically requires 2 to 4 years of related experience.
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