Provider Relations Representative jobs in Denton, 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)

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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.
  • 11 Days Ago

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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...
  • 20 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Phillip Rice - State Farm Agent
  • Roanoke, 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 ...
  • 19 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Ricardo Sempertegui - 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 ...
  • 19 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Crystal Plaster - State Farm Agent
  • Cleburne, 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...
  • 19 Days Ago

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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...
  • 20 Days Ago

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0 Provider Relations Representative jobs found in Denton, TX area

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Customer Relations Representative
  • Elite Generations
  • Dallas, TX
  • Are you a dedicated, self-driven individual with a passion for providing outstanding customer support? Do you have a rep...
  • 3/28/2024 12:00:00 AM

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Patient Access Rep - Lewisville
  • CornerStone Staffing
  • Lewisville, TX
  • Job Description Job Description CornerStone Staffing is partnered with a Top Rated Outpatient Diagnostics company and we...
  • 3/28/2024 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...
  • 3/27/2024 12:00:00 AM

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Customer Relations Representative
  • Catalyst Career Group
  • Dallas, TX
  • Job Description Job Description Collaborative. Respectful. A place to dream and do. These are just a few words that desc...
  • 3/27/2024 12:00:00 AM

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Customer Services Representative
  • VINCI Facilities
  • Denton, TX
  • **Customer Services Representative** **Customer Services Representative** **Sub Division: FMPC** **Location: Denton** **...
  • 3/27/2024 12:00:00 AM

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REMOTE - Customer Service Associate I - CSS
  • Mr. Cooper
  • Lewisville, TX
  • **REMOTE - Customer Service Associate I - CSS** Location: Lewisville, TX, United States Req ID: 018615 Share: share to e...
  • 3/26/2024 12:00:00 AM

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Patient Services Representative
  • Aspen Dental
  • Denton, TX
  • At Aspen Dental, we put You first, offering the security and job stability that comes with working with a world-class de...
  • 3/25/2024 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, ...
  • 3/24/2024 12:00:00 AM

Denton is a city in and the county seat of Denton County, Texas, United States. As of the 2010 United States Census, its population was 113,383, making it the 27th-most populous city in Texas, the 200th-most populous city in the United States, and the 12th-most populous city in the Dallas–Fort Worth metroplex. A Texas land grant led to the formation of Denton County in 1846, and the city was incorporated in 1866. Both were named after pioneer and Texas militia captain John B. Denton. The arrival of a railroad line in the city in 1881 spurred population, and the establishment of the University ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$52,350 to $66,971
Denton, Texas area prices
were up 2.2% from a year ago