Provider Relations Representative, Sr. Jobs

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. 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. Trains healthcare providers and physicians on network operating policies and procedur ... es 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. Work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. Typically requires 4-7 years of related experience. More
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