Provider Relations Representative, Sr. jobs in Montana

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)

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Provider Network Representative (Hybrid)
  • Health Care Service Corporation
  • Helena, MT 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 provider Recruitment and Contracting, Education of Providers, and ongoing Provider Service. Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

    JOB REQUIREMENTS:

    • Bachelor’s degree in business OR 4 years’ experience in managed care environment.
    • 2 years’ experience in a position that demonstrates leadership abilities and sound decision-making.
    • Knowledge of contracts, applications and products; claims processing systems.
    • Demonstrated proficiency in provider reimbursement methods.
    • Demonstrated ability to meet deadlines and work well under pressure.
    • Verbal and written communication skills; organizational and planning skills; ability to take initiative and work independently.
    • PC proficiency to include Microsoft Office.
    • Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

    - 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.
  • 8 Days Ago

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Customer Service Representative - Roadside Assistance Provider
  • The Virtual Call Center, Inc
  • Helena, MT FULL_TIME
  • Here at The Virtual Call Center, we're in the business of embracing change by transforming how individuals provide quality customer service to Top Name Brands and Fortune 500 companies, by offering an...
  • 15 Days Ago

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Nurse Practitioner - Supportive Work Culture and Great Pay/Benefits
  • Provider Healthcare
  • Missoula, MT FULL_TIME
  • Job Type Full TimeSchedule Monday - Friday (8 am to 5 pm)Pay - Negotiable, depending on experiencePatients Per Day 18-20EMR System - NextGenWork Location Outpatient clinicJob ID 60372Job DescriptionA ...
  • 2 Days Ago

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Nurse Practitioner - Supportive Work Culture and Great Pay/Benefits
  • Provider Healthcare
  • Great Falls, MT FULL_TIME
  • Job Type Full TimeSchedule Monday - Friday (8 am to 5 pm)Pay - Negotiable, depending on experiencePatients Per Day 18-20EMR System - NextGenWork Location Outpatient clinicJob ID 60371Job DescriptionA ...
  • 3 Days Ago

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Nurse Practitioner - Supportive Work Culture and Great Pay/Benefits
  • Provider Healthcare
  • Billings, MT FULL_TIME
  • Job Type Full TimeSchedule Monday - Friday (8 am to 5 pm)Pay - Negotiable, depending on experiencePatients Per Day 18-20EMR System - NextGenWork Location Outpatient clinicJob ID 60370Job DescriptionA ...
  • 3 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Jeff Keil - State Farm Agent
  • Billings, MT FULL_TIME
  • Benefits: Bonus based on performance Competitive salary Opportunity for advancement Training & development ROLE DESCRIPTION: As a Customer Relations Representative - State Farm Agent Team Member with ...
  • 1 Month Ago

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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...
  • 6/12/2024 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...
  • 6/12/2024 12:00:00 AM

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Customer Relations Representative
  • Standard Appliance, Inc.
  • Portland, OR
  • at least 1 year Then come work with us! Standard TV and Appliance has an opening for a CUSTOMER RELATIONS REPRESENTATIVE...
  • 6/12/2024 12:00:00 AM

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Patient Relations Representative
  • Northside Hospital Inc.
  • Cumming, GA
  • Overview: Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quali...
  • 6/11/2024 12:00:00 AM

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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

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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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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

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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

Montana (/mɒnˈtænə/ (listen)) is a landlocked state in the Northwestern United States. Montana has several nicknames, although none are official, including "Big Sky Country" and "The Treasure State", and slogans that include "Land of the Shining Mountains" and more recently "The Last Best Place". Montana is the 4th largest in area, the 8th least populous, and the 3rd least densely populated of the 50 U.S. states. The western half of Montana contains numerous mountain ranges. Smaller island ranges are found throughout the state. In all, 77 named ranges are part of the Rocky Mountains. The easte...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$67,110 to $83,225

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