Provider Relations Representative, Sr. jobs in South Dakota

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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Senior Provider Relations Specialist
  • Sanford Health
  • Sioux Falls, SD FULL_TIME
  • Careers With Purpose

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

    Facility: Cherapa Place Building

    Location: Sioux Falls, SD

    Address: 300 N Cherapa Pl, Sioux Falls, SD 57103, USA

    Shift: 8 Hours - Day Shifts

    Job Schedule: Full time

    Weekly Hours: 40.00

    Salary Range: $24.00 - $38.50

    Job Summary

    The Senior Provider Relations Specialist is responsible for acting as a resource to all Health Plan employees specifically the employees of the Provider Relations Department. Gains extensive knowledge in the assigned subject matter. For the information system application(s) and a basic working knowledge of the enterprise healthcare information system applications. Uses analytical skills and experiences to investigate/resolve and/or escalate support issues. Incorporates techniques to assist and/or lead training sessions. Must have ability to train and provide documentation of the assigned application to users with varying education and learning abilities. Assists in the creating and maintenance of training documentation or on-line training courses. Utilizes project management principles to assist in achieving states outcomes. Creates and analyzes data reports. Keeps departmental leadership and project leaders advises of outstanding issues and support needs. Performs with a high level of customer service skills on all support and training requirements. Promotes and participates in the team approach to support and manage projects.

    Qualifications

    Minimum of a Bachelor’s degree required, preferable in business, a health care or computer related field.

    Benefits

    Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

    Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

    Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

    Req Number: R-0188439

    Job Function: General Administration

    Featured: No

  • 10 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Paul Kruse - State Farm Agent
  • Rapids, SD FULL_TIME
  • Position Overview: Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the...
  • 7 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Paul Kruse - State Farm Agent
  • Brookings, SD FULL_TIME
  • Position Overview: Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the...
  • 2 Months Ago

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Provider Enrollment Representative - Remote IA, MN, ND, SD
  • Sanford Health
  • UNKNOWN, SD FULL_TIME
  • Create Your Career With Us! Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportuni...
  • 18 Days Ago

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Customer Service Representative - State Farm Agent Team Member (Customer Relations Focus)
  • Ty Teveldal - State Farm Agent
  • Sioux Falls, SD FULL_TIME
  • Position Overview State Farm Insurance Agent located in Sioux Falls, SD is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for Ty Teveldal - State Far...
  • 26 Days Ago

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Childcare Provider
  • The Kids Den
  • Rapid, SD PART_TIME,FULL_TIME
  • Enjoys working with children of all ages!! Duties include multitasking, communication, basic skills that provide prepping meals, feeding, diaper changes, and being able to supervise children during ti...
  • 2 Days Ago

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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

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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
  • 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

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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

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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

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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...
  • 6/7/2024 12:00:00 AM

South Dakota (/- dəˈkoʊtə/ (listen)) is a U.S. state in the Midwestern region of the United States. It is named after the Lakota and Dakota Sioux Native American tribes, who compose a large portion of the population and historically dominated the territory. South Dakota is the seventeenth largest by area, but the fifth smallest by population and the 5th least densely populated of the 50 United States. As the southern part of the former Dakota Territory, South Dakota became a state on November 2, 1889, simultaneously with North Dakota. Pierre is the state capital and Sioux Falls, with a populat...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$64,596 to $80,107

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