Provider Relations Representative, Sr. jobs in Fort Worth, TX

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)

Recently Added Provider Relations Representative, Sr. jobs

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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.
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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,...
  • 4 Days Ago
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Sr. Customer Service Representative
  • The City of Fort Worth
  • Fort Worth, TX FULL_TIME
  • Pay Range: $20.44/hr. - $25.55/hr. Job Posting Closing on: Wednesday, February 28, 2024 Workdays & Hours: Monday – Friday 8am – 5pm; Some evening work required. Benefits for this position include: 11 ...
  • 2 Months Ago
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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. ...
  • 16 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...
  • 1 Month Ago
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Sr. Police Records Customer Representative
  • The City of Fort Worth
  • Fort Worth, TX FULL_TIME
  • Pay Range: $20.44/hr. - $25.55/hr. Job Posting Closing on: Monday, December 25, 2023 Workdays & Hours: Monday through Friday 8:15 a.m. – 5:15 p.m. Benefits for this position include: 11 Paid Holidays,...
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0 Provider Relations Representative, Sr. jobs found in Fort Worth, TX area

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Customer Service Representative
  • CornerStone Staffing
  • Fort Worth, TX
  • Job Description Job Description Are you passionate about delivering exceptional customer service and intrigued by the wo...
  • 4/16/2024 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...
  • 4/16/2024 12:00:00 AM
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Account Representative
  • Plumbing Webmasters
  • Fort Worth, TX
  • Job Description Job Description This is an on-site position, no remote work available We are seeking an Account Represen...
  • 4/15/2024 12:00:00 AM
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Client Representative
  • Summit Strive Consulting
  • Fort Worth, TX
  • Job Description Job Description Job Title: Client Representative Company Overview: Join our passionate team dedicated to...
  • 4/14/2024 12:00:00 AM
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Customer Service Representative
  • Minuteman Press
  • Fort Worth, TX
  • Job Description Job Description **Important Note: Please read this entire posting before applying for this position. Min...
  • 4/14/2024 12:00:00 AM
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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...
  • 4/13/2024 12:00:00 AM
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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...
  • 4/13/2024 12:00:00 AM
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Customer Relations Representative
  • Occidental Petroleum Corporation
  • Dallas, TX
  • Job Description **Description** Occidental Chemical Corporation (OxyChem) is a leading North American manufacturer of po...
  • 4/12/2024 12:00:00 AM
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About Fort Worth, Texas

Fort Worth is located in North Texas, and has a generally humid subtropical climate. It is part of the Cross Timbers region; this region is a boundary between the more heavily forested eastern parts and the rolling hills and prairies of the central part. Specifically, the city is part of the Grand Prairie ecoregion within the Cross Timbers. According to the United States Census Bureau, the city has a total area of 349.2 square miles (904 km2), of which 342.2 square miles (886 km2) is land and 7.0 square miles (18 km2) is covered by water. It is a principal city in the Dallas–Fort Worth metropl...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$69,663 to $86,391
Fort Worth, Texas area prices
were up 2.2% from a year ago
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What does a Provider Relations Representative, Sr. do?

Provider Relations Representative, Sr. in Kingsport, TN
A job as a Provider Relations Representative falls under the broader career category of Business Operations Specialists, All Other.
February 18, 2020
Provider Relations Representative, Sr. in Sioux City, IA
The PR Rep serves as a liaison between contracted payers, providers and ancillary providers to promote superior customer service and seamless programs.
February 16, 2020
Provides telephonic provider education to new providers.
February 14, 2020
Provider Relations Representative, Sr. in Buffalo, NY
This position provides on-going communication, in-service, orientation, and direction to these contracted provider offices.
February 03, 2020