Provider Relations Representative jobs in Oklahoma

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 Representative (Hybrid)
  • Health Care Service Corporation
  • Tulsa, OK 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 path to a rewarding and fulfilling career.

    Come join us and be part of a purpose driven company who is invested in your future!

    Job Summary

    This position is responsible for enhancing relationships with Facility and Physician Providers; and acting as liaison with providers through education, training, claims assistance and ongoing provider service.

    Required Job Qualifications:

    • Bachelor's degree and 1-year managed care experience in products or contracts OR 5 years' experience in managed care environment with 1 year experience in products or contracts.
    • 1 year experience in a position that demonstrates leadership abilities and sound decision-making.
    • Knowledge of contracts, applications and products; claims processing systems.
    • Knowledge and experience in provider reimbursement methods.
    • Meet deadlines and work well under pressure and take initiative to work independently.
    • Verbal and written communication skills; organizational and planning skills.
    • PC proficiency to include Microsoft Office.
    • Ability and willingness to travel, including overnight stays.

    Preferred Job Qualifications:

    • 1 year experience in provider relations.

    #LI-Hybrid

    Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

    HCSC Employment Statement:

    HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

     

  • 7 Days Ago

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Director Provider Relations
  • UHS
  • ENID, OK FULL_TIME
  • Responsibilities St. Mary’s is a 229-bed, acute care hospital located in Enid, OK. St. Mary’s Regional Medical Center has served the healthcare needs of northwest Oklahoma for more than 100 years. We ...
  • 3 Days Ago

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Director Provider Relations
  • St. Mary's Regional Medical Center
  • Enid, OK FULL_TIME
  • ResponsibilitiesSt. Mary’s is a 229-bed, acute care hospital located in Enid, OK. St. Mary’s Regional Medical Center has served the healthcare needs of northwest Oklahoma for more than 100 years. We h...
  • 4 Days Ago

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Provider Relations Liaison
  • Oklahoma Division Office
  • Tulsa, OK FULL_TIME
  • Overview Ardent Health Services is a leading provider of healthcare in communities across the country. Through its subsidiaries, Ardent owns and operates nearly 200 sites of care and 30 hospitals acro...
  • 11 Days Ago

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Community Relations Representative
  • Companion Healtcare
  • Guthrie, OK FULL_TIME
  • We are seeking a dynamic Community Relations Representative to join our team. The ideal candidate will be responsible for engaging with the community, fostering relationships, and promoting our organi...
  • 4 Days Ago

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Customer Relations Representative
  • The Virtue Center
  • Norman, OK FULL_TIME
  • Distinguishing Job Characteristics: This position works directly with the Office Manager in areas assigned to implement general directives. This position provides administrative support to all program...
  • 18 Days Ago

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Provider Relations Representative
  • American Health Partners
  • Sparta, GA
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 6/11/2024 12:00:00 AM

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Provider Relations Representative
  • American Health Plans
  • Milledgeville, GA
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 6/10/2024 12:00:00 AM

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Provider Relations Representative - Oxnard, CA
  • UnitedHealth Group
  • Oxnard, CA
  • Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. ...
  • 6/10/2024 12:00:00 AM

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Donor Relations Representative
  • Christus Health
  • Irving, TX
  • Description Summary: Responsible for gift processing and donor relations including: responding to all donor inquiries, r...
  • 6/10/2024 12:00:00 AM

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Provider Relations Representative
  • Volunteers of America National Services
  • Volunteers of America National Services- PACE is seeking a Provider Relations Representative to service our Colorado Ser...
  • 6/8/2024 12:00:00 AM

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Provider Relations Representative
  • American Health Plans
  • Boise, ID
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 6/7/2024 12:00:00 AM

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Provider Relations Representative - Towson, MD (Hybrid)
  • Sheppard Pratt
  • Towson, MD
  • Since our founding in 1853, Sheppard Pratt has been transforming care and leading the way, creating a mental health cont...
  • 6/7/2024 12:00:00 AM

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Provider Relations Representative - Baton Rouge, LA
  • HMS
  • Baton Rouge, LA
  • Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances...
  • 6/7/2024 12:00:00 AM

Oklahoma is the 20th-largest state in the United States, covering an area of 69,899 square miles (181,040 km2), with 68,595 square miles (177,660 km2) of land and 1,304 square miles (3,380 km2) of water. It lies partly in the Great Plains near the geographical center of the 48 contiguous states. It is bounded on the east by Arkansas and Missouri, on the north by Kansas, on the northwest by Colorado, on the far west by New Mexico, and on the south and near-west by Texas. Much of its border with Texas lies along the Southern Oklahoma Aulacogen, a failed continental rift. The geologic figure defi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$49,771 to $63,677