Provider Relations Representative
Core
Enhancing relationships with facility and physician providers by serving as a liaison for education, training, claims assistance, and issue resolution.
Role type
Provider Relations Representative
Builds
Provider satisfaction and operational understanding of policies and reimbursement processes
Domain
Health insurance / Managed care
Deliverable
client delivery
Required skills
Provider relationship management, claims processing, contract knowledge, reimbursement methods, health care administration, analytical skills, presentation skills, travel readiness
Preferred skills
Managed care environment experience, provider office workflow knowledge, trend identification, multi-tasking
Technologies
Word, Excel, PowerPoint, claims processing systems
Responsibilities
Educate providers on policies and procedures, assist with claims issues, resolve provider concerns, facilitate training sessions, analyze provider trends for process improvements
Seniority
Mid-level, hands-on IC
