Provider Relations Specialist

Provider Relations Specialist Job Description

Serves as a healthcare insurance company's liaison with hospitals and other providers. Educates providers concerning network participation and other plan policies and procedures. Investigates and resolves providers’ inquiries regarding claims submission and processing, including reimbursement issues. Requires the ability to explain and differentiate among multiple insurance plans and contract features. May work directly with plan members to assist in locating the best medical treatment supported by their plan.

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Salary for Provider Relations Specialist
39000 - 50000
25th percentile
39000
New to the role, with little or no experience; requires more than casual instruction or supervision to perform day-to-day duties
50th percentile
43000
Has the experience to consistently perform core responsibilities without direct supervision; very comfortable with processes and subject matter associated with the role
75th percentile
50000
Value to the organization goes far beyond the ability to perform normal job duties; has rare qualifications that enable consistent contribution in unique ways; ready for next career level when available
Projected salaries for related positions Position title 25th percentile 50th percentile 75th percentile Member Services/Enrollment Manager 59000 64500 73750 Member Services/Enrollment Specialist 36250 39750 47000

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