Provider Relations Representative, Sr. jobs in Knoxville, TN

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)

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Dir Provider Relations Mkt
  • Turkey Creek Medical Center
  • Knoxville, TN FULL_TIME
  • Supports market/hospital leaders and outreach team members to effectively align and achieve goals by establishing and maintaining provider relationships; planning and coordinating strategic service line and outreach efforts; effectively leveraging appropriate data; and consistent communication of goals/outcomes.

    In coordination with Market/Hospital leadership, ensures quarterly updates are developed and validated in alignment with market strategies and initiatives.

    Supports market leadership in the strategic planning process to provide alignment insight, provider preferences, and service line growth opportunities through available appropriate data sources.

    Accountable to Corporate Provider Relations to maintain structure and integrity of the program, DPO/DCO efforts, growth strategies, service line development, best practice sharing, data mining, and execution on growth initiatives.

    Ensures timely documentation by Provider Relations team members for provider calls (meetings) and Issue Resolution Management into the PRM system.

    Collaborate weekly (or as needed) with Market/Hospital CEOs to discuss trends, business growth opportunities, obstacles to service line retention, and results from the previous week’s Provider Relations outreach activities.

    Support market/hospital and outreach team members with identified/ongoing barriers to growth by meeting with providers, hospitals, urgent cares, EMS agencies, etc. to obtain feedback in order to improve access, processes and outcomes.

    On a weekly, monthly, and quarterly basis, interact and coordinate necessary meetings, field rides, and assessment of the Provider Relations team members to ensure efforts are aligned with the hospital/market strategies to enhance the community’s awareness of the quality services that our healthcare system and clinicians provide locally.
  • 1 Month Ago

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Senior Provider Relations Advocate - Remote in East TN
  • UnitedHealth Group
  • Knoxville, TN FULL_TIME
  • At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people fo...
  • 8 Days Ago

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Owner Relations Sales Representative
  • Smoky Vistas LLC
  • Sevierville, TN FULL_TIME
  • We’re looking for an outgoing owner-relations sales representative to help us smash our sales goals! You’ll help us generate leads by prospecting potential clients, adding qualified leads to the sales...
  • 17 Days Ago

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Bookkeeper - Owner'S Relations Representative
  • Smoky Vistas LLC
  • Sevierville, TN FULL_TIME
  • Join Our Team and Impact Others to Prosper! Are you an experienced Bookkeeper looking for an opportunity to work with a company that truly understands and prioritizes the needs of property owners? Smo...
  • 28 Days Ago

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Provider Enrollment Research Representative
  • TeamHealth
  • Louisville, TN FULL_TIME
  • Job Snapshot Employee Type: Full-Time Location: Louisville, TN Job Type: Health Care Insurance Experience: Not Specified Date Posted: 3/6/2024 Job Description TeamHealth is named among the “150 Great ...
  • 1 Month Ago

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Provider Enrollment Representative- Temp- Remote
  • TeamHealth
  • Knoxville, TN FULL_TIME
  • Job Snapshot Employee Type: Seasonal/Temp Location: Knoxville, TN Job Type: Admin - Clerical Health Care Insurance Experience: Not Specified Date Posted: 4/22/2024 Job Description TeamHealth has ranke...
  • Just Posted

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0 Provider Relations Representative, Sr. jobs found in Knoxville, TN area

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Patient Service Rep I
  • Covenant Health Inc.
  • Knoxville, TN
  • Overview Patient Service Representative, Center for Reproductive Medicine & Pelvic Pain PRN/OCC, Hours vary, Day shift C...
  • 4/25/2024 12:00:00 AM

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Customer Service Monitoring Representative
  • Defenders
  • Knoxville, TN
  • Company Overview: ADT has been in the business of helping save lives since 1874. As the #1 smart home security provider ...
  • 4/24/2024 12:00:00 AM

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Patient Service Representative II
  • Covenant Health Inc.
  • Knoxville, TN
  • Overview Patient Service Representative, Float Pool PRN/OCC, Hours and shifts vary Covenant Medical Group is Covenant He...
  • 4/23/2024 12:00:00 AM

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Customer Service Representative ($20.50/hr+)
  • Palmer-Donavin
  • Knoxville, TN
  • Overview: Discover Palmer-Donavin Established in 1907, Palmer-Donavin is a leader in building material distribution and ...
  • 4/23/2024 12:00:00 AM

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Call Center Representative
  • Igt Solutions
  • Knoxville, TN
  • Position: Call Center Agent Location: Knoxville, TN 37932 (Work From office ) Work Mode: Work from Office Education, Exp...
  • 4/23/2024 12:00:00 AM

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Account Representative
  • Smart Choice Medical
  • Knoxville, TN
  • Job Description Job Description At A1 Med we offer full-service home medical equipment products and services delivered t...
  • 4/22/2024 12:00:00 AM

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Call Center Representative
  • IGT Solutions
  • Knoxville, TN
  • Position: Call Center Agent Location: Knoxville, TN 37932 (Work From office ) Work Mode: Work from Office Education, Exp...
  • 4/21/2024 12:00:00 AM

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Senior Customer Solutions Agent
  • First Horizon Bank
  • Knoxville, TN
  • Location:On-site in Knoxville, Tennessee Essential Duties and Responsibilities: The representative is responsible for en...
  • 2/29/2024 12:00:00 AM

Knoxville is a city in the U.S. state of Tennessee, and the county seat of Knox County. The city had an estimated population of 186,239 in 2016 and a population of 178,874 as of the 2010 census, making it the state's third largest city after Nashville and Memphis. Knoxville is the principal city of the Knoxville Metropolitan Statistical Area, which, in 2016, was 868,546, up 0.9 percent, or 7,377 people, from to 2015. The KMSA is, in turn, the central component of the Knoxville-Sevierville-La Follette Combined Statistical Area, which, in 2013, had a population of 1,096,961. First settled in 178...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$65,586 to $81,335
Knoxville, Tennessee area prices
were up 1.3% from a year ago

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