Broker Relations Representative establishes or maintains a business relationship with new or existing brokers. Provides commissions for brokers in an accurate and timely manner. Being a Broker Relations Representative troubleshoots all the administrative and specialized issues from brokers and clients. Handles concerns, issues and questions from brokers and customers. Additionally, Broker Relations Representative requires a bachelor's degree. Typically reports to a supervisor or manager. The Broker Relations Representative gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Broker Relations Representative typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
POSITION SUMMARY/RESPONSIBILITIES
Working with Department management, evaluates, plans, develops and maintains HMO network of primary care physicians/groups including RHCs, FQHCs,PHOs, IPAs and/or multi-site primary care groups, specialist physicians (individuals and groups) and ancillary services providers for health plan services. Acts as a liaison to assigned providers to ensure that all of the groups are effectively informed and updated by the health plan as necessary. Demonstrates an ability to develop and manage the relationship with large and complex provider groups including IPAs and PHOs. Effectively manages individual providers requiring focused attention. Resolves complex issues effecting provider relations.
EDUCATION/EXPERIENCE
A Bachelor's degree in health care administration, business or a related area is required. Five years of progressively increasing responsibility and experience in managed care environment may be substituted for the Bachelor's degree. A minimum of three years of recent experience as a provider relations representative, member service representative or relevant claim experience is preferred.
LICENSURE
Valid Texas drivers' license and a reliable vehicle are required.
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