Provider Relations Representative jobs in Arlington, TX
Provider Relations Representative 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. Typically requires a bachelor's degree. Being a Provider Relations Representative typically reports to a supervisor or manager. The Provider Relations Representative works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Provider Relations Representative typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)
Recently Added Provider Relations Representative jobs
Provider Relations Coordinator
- CCHP Cook Children's Health Plan
-
Fort Worth, TX
FULL_TIME
- Location: Calmont Operations Building Department: Network Mgmt Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: Additional Information: The Provider Relations Coordinator is responsible for performing all physician, hospital and ancillary provider orientation, training and ongoing educational activities for CCHP network providers and their staffs. Responsible for the tracking of concerns, complaints and issues raised by network providers, and results reporting. Facilitates resolution of all complaints/issues raised by network providers related to members, claims, operational policies and organizational procedures. Responsible for ensuring the accuracy and completeness of CCHP provider directory information. Coordination of the development and publication of the CCHP provider newsletter. Development & maintenance of the CCHP provider reference guide. Develops and implements additional communications required to assure that CCHP providers are knowledgeable regarding CCHP operations and programs. Education: High School graduate with advanced training in healthcare, business, or a related field required. Five (5) years of operational experience in a managed care organization specifically in the area of provider network management to include provider orientation, ongoing educational activities, problem resolution and provider communications required. Incumbent must demonstrate proven success in establishing and maintaining positive working relationships with health care providers and their staffs. Working knowledge of HMO business operations specifically the functions of utilization management, member services, claims, credentialing and benefit plan interpretation. Experience preparing and presenting information to individuals and groups. Must be attentive to detail, have excellent organizational, problem solving, verbal and written skills. Must be able to work independently and actively participate as an integrated team member. Experience with governmental managed care programs desire. About Us: Cook Children's Health Plan Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer. Promise, a strong word with deep meaning that everyone understands—especially kids. This is the foundation of our organization and what drives us to blaze new trails in medical care, research, advanced technology, as well as programs and initiatives that benefit children who may not otherwise have access to quality health care. Every day our employees come to work with the intention of keeping our Promise. It's the guiding principle that helps our patients and their families get better and stay healthy. As a member of our Cook Children's team, you can be an important part of making that happen.
- 7 Days Ago
Provider Relations Enrollment Specialist
- TIOPA, Inc
-
Fort Worth, TX
FULL_TIME
- JOB DUTIES: Enroll providers in CMS Medicare Enroll providers in TMHP Medicaid BCBS Onboarding application completion Medicare and Medicaid Revalidations Assist providers over the telephone and email,...
- 11 Days Ago
Inside Sales Rep - Texas First Rentals
- Texas First Rentals- Inside Sales Representative
-
Fort Worth, TX
FULL_TIME
- Job Summary: Develops, maintains, and interacts with new prospects and existing customers to maintain and increase the company’s customer base and to achieve rental, sales, and service revenue goals. ...
- 23 Days Ago
Automotive Customer Service Representative / Guest Relations
- Christian Brothers Automotive - Roanoke
-
Roanoke, TX
FULL_TIME
- Job Overview:As an Automotive Customer Service Representative / Service Advisor with Christian Brothers Automotive, you are the person that our customers look to when they need help with their vehicle...
- 1 Month Ago
Customer Relations Representative - State Farm Agent Team Member
- Matthew Sand - State Farm Agent
-
Denton, TX
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 ...
- 15 Days Ago
Customer Relations Representative - State Farm Agent Team Member
- Amy Kaplan - State Farm Agent
-
Springtown, TX
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...
- 15 Days Ago
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0 Provider Relations Representative jobs found in Arlington, TX area
Guest Relations Team Member
- Hurricane Harbor Arlington
-
Arlington, TX
- Job Summary: The purpose of a Guest Relations Representative is to assist Guests with questions, comments, concerns they...
- 4/23/2024 12:00:00 AM
Customer Relations Representative
- Elite GI.
-
Dallas, TX
- Job Description Job Description Are you a dedicated, self-driven individual with a passion for providing outstanding cus...
- 4/22/2024 12:00:00 AM
Customer Service Representative
- Express Employment Professionals
-
Arlington, TX
- Job Description Job Description -Heavy order entry -Sell and manage the complete range of a company's products and servi...
- 4/22/2024 12:00:00 AM
Customer Service Representative
- BOXHEAD SHIPPING STATION LLC
-
Bedford, TX
- Job Description Job Description Job Summary: Provides customer service and resolves issues by offering solutions, explan...
- 4/22/2024 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...
- 4/21/2024 12:00:00 AM
Customer Relations Representative
- Elite GI.
-
Dallas, TX
- Are you a dedicated, self-driven individual with a passion for providing outstanding customer support? Do you have a rep...
- 4/20/2024 12:00:00 AM
HR Shared Services Rep - Temp
- Republic National Distributing Company
-
Grand Prairie, TX
- Republic National Distributing Company (RNDC) is a family-owned business with roots extending before Prohibition that ha...
- 4/19/2024 12:00:00 AM
Submission for the position: Provider Relations Rep 1 - (Job Number: 24005938)
- Baylor Scott & White Healthcare
-
Rowlett, TX
- JOB SUMMARY The Provider Relations Representative 1 is responsible for providing excellent customer service to providers...
- 4/18/2024 12:00:00 AM
About Arlington, Texas
Arlington is a city in the U.S. state of Texas, located in Tarrant County. It is part of the Mid-Cities region of the Dallas–Fort Worth–Arlington metropolitan area, approximately 12 miles (19 km) east of downtown Fort Worth and 20 miles (32 km) west of downtown Dallas.
According to the U.S. Census Bureau's estimate, the city had a population of 396,394 in 2017, making it the second-largest city in the county (after Fort Worth) and the third-largest in the metropolitan area. Arlington is the forty-eighth-most populous city in the United States, the seventh-most populous city in the state of Tex...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$52,114 to $66,671
Arlington, Texas area prices
were up 2.2% from a year ago
were up 2.2% from a year ago