Provider Relations Representative, Sr. jobs in Colorado
Provider Relations Representative, Sr. 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. May provide guidance or expertise to less experienced representatives. Being a Provider Relations Representative, Sr. typically requires a bachelor's degree. Typically reports to a supervisor or manager. The Provider Relations Representative, Sr. gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Relations Representative, Sr. typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Provider Relations Representative, Sr. jobs
Provider Relations Representative
- Volunteers of America National Services (VOANS)
-
Eckert, CO
FULL_TIME
-
Volunteers of America National Services- PACE is seeking a Provider Relations Representative to service our Colorado Service Area which includes two sites in Eckert and Montrose, CO.
Schedule: M-F 8:30 AM-5:30 PM Service Area locations and in the field sales
Salary: $55,000-$65,000
Benefit Highlights:- 403(b) Retirement Plan
- Career scholarships;
- Continuing career education and leadership programs;
- Dental and Vision Insurance
- Paid Time Off (Vacation, Holiday & Sick Days)
Maintain the provider network for assigned VOANS PACE Organization(s).
Essentials:- Develops and maintains strong relationships with healthcare and other service providers, including physicians, hospitals, clinics, and ancillary service providers.
- Initiates and maintains effective communication channels between contracted providers and PACE clinical and administrative teams to develop cohesive, high performing working relationships.
- Serves as the primary point of contact for provider inquiries, concerns, and escalations, ensuring timely resolution and follow-up.
- Collaborates with internal departments, including claims, contracting and credentialing, to resolve provider-related issues in a timely manner and ensure seamless service delivery.
- Exhibits understanding and sets priorities to handle multiple tasks simultaneously, and designs work plans to track progress, resolve issues, and efficiently and effectively see tasks to completion.
- Completes orientations, training and development for new and existing network providers.
- Gathers, reviews, and verifies all pertinent information relating to participating network providers.
- Communicates with the Provider Relations Manager on provider updates, issues and concerns and collaborates on projects.
- Plans and facilitates meetings with current and prospective contracted providers.
- Works with contracted providers to adhere to contract and regulatory requirements.
- Monitors and prepares routine reports for the Provider Relations Manager on provider satisfaction and other provider metrics.
- Conducts proactive provider outreach, networking and education initiatives to promote PACE.
- Assists in the development of strategies for provider network expansion and growing enrollment referral streams.
- Prints, packages, mails or distributes in person company flyers, post cards and, educational materials for existing and prospective network providers.
- Travels within designated service area to provider offices and PACE Center as required in order to accomplish the position’s tasks.
- Stays informed about changes in healthcare regulations and company policies that may impact providers.
- Other duties as assigned
- Bachelor’s degree in Healthcare or Business Administration or closely related field.
- Minimum two years in client services and provider relations.
- Ability to communicate and work effectively with various levels of facility and VOA/VOANS staff and providers.
- Analytical and organizational ability.
- Self-motivated, disciplined, detailed and career oriented.
- Integrity driven.
- Knowledge of HIPAA law.
- Knowledge of PACE regulations.
- Knowledge of claims processes and data capturing.
- Just Posted
Social Worker
- Office of the Child's Representative
-
Colorado, CO
FULL_TIME
- ****THIS POSTING IS STATEWIDE COLORADO. OCR IS LOOKING FOR CANDIDATES IN PUEBLO, DENVER, FOUR CORNERS area, FORT COLLINS, GREELEY, AMONG OTHER PLACES.****OCR MISSION & VISIONThe Office of the Child’s ...
- 2 Months Ago
Client Relations Representative
- BairesDev
-
Denver, CO
FULL_TIME
- BairesDev is the leading software development company in the Americas. With more than 1300 employees working on projects around the world, a sustained average annual growth of over 50%, and recognized...
- 3 Days Ago
Client Relations Representative
- Luma Marketing Group
-
Greeley, CO
FULL_TIME
- We are seeking an enthusiastic and dynamic individual to join our team as a Retail Marketing and Promotions Client Relations Representative. In this role, you will play a vital role in building and ma...
- 5 Days Ago
Customer Relations Representative
- GF Health Products, Inc.
-
Mountain, CO
FULL_TIME
- Company DescriptionPosition Summary Be part of the team that helps place and maintain our medical equipment/furniture in hospitals, nursing homes, ambulatory surgery centers, and in the homes of those...
- 8 Days Ago
Customer Relations Representative
- Viaero Wireless
-
Fort Morgan, CO
FULL_TIME
- As a Viaero Customer Relations Representative, you work onsite and are responsible for handling both inbound and outbound phone calls regarding customer service issues. Our Representatives strive to p...
- Just Posted
Provider Relations Representative, Sr. jobs at Popular Companies
Customer Relations Representative
- Bruno
-
Oconomowoc, WI
- Overview This position is responsible to serve customers via a call-center. Provide product and sales information, proce...
- 6/11/2024 12:00:00 AM
Guest Relations Representative
- Six Flags Great Adventure
-
Jackson, NJ
- Assist Guests with questions, comments, concerns they may have about their experience while visiting Six Flags. Resolve ...
- 6/10/2024 12:00:00 AM
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
Customer Relations Representative
- Olympus Executives
-
Garland, TX
- Are you a dedicated, self-driven individual with a passion for providing outstanding customer support? Do you have a rep...
- 6/10/2024 12:00:00 AM
Customer Relations Representative
- Upstate Niagara Cooperative, Inc.
-
Lancaster, PA
- ** Customer Relations Representative** **Job Category****:** Customer Service **Requisition Number****:** CUSTO001807 Sh...
- 6/10/2024 12:00:00 AM
Customer Relations Representative
- 3rd Degree Solutions
-
Roseville, CA
- 3rd Degree Solutions is a fast-paced customer acquisition company dedicated to helping our clients expand their customer...
- 6/8/2024 12:00:00 AM
Patient Relations Representative
- Gastro Health
-
Delray Beach, FL
- Gastro Health is seeking a Full-Time Patient Relations Representative to join our team! Gastro Health is a great place t...
- 6/7/2024 12:00:00 AM
Team Relations Representative
- Onin Staffing
-
Chattanooga, TN
- Job Description Job Description The On-Site role will be based at a client site. This position is the primary liaison be...
- 6/7/2024 12:00:00 AM
About Colorado
Colorado (/ˌkɒləˈrædoʊ, -ˈrɑːdoʊ/ (listen), other variants) is a state of the Western United States encompassing most of the southern Rocky Mountains as well as the northeastern portion of the Colorado Plateau and the western edge of the Great Plains. It is the 8th most extensive and 21st most populous U.S. state. The estimated population of Colorado was 5,695,564 on July 1, 2018, an increase of 13.25% since the 2010 United States Census.
The state was named for the Colorado River, which early Spanish explorers named the Río Colorado for the ruddy silt the river carried from the mountains. The...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$73,290 to $90,888
Most Popular Cities in Colorado for Provider Relations Representative, Sr. Jobs
What does a Provider Relations Representative, Sr. do?
Provider Relations Representative, Sr. in Duluth, MN
Held meetings with providers to review new policies, products and issue resolution.
January 14, 2020
Provider Relations Representative, Sr. in Norwich, CT
The continued upward spiral in health care costs has challenged sponsors, providers and payers of health benefits to deliver high quality care in the most cost-effective manner possible.
January 21, 2020
Provider Relations Representative, Sr. in Poughkeepsie, NY
The specific duties of customer service representatives vary by industry.
December 25, 2019