Provider Relations Representative, Sr. jobs in Rialto, CA

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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Provider Relations Representative - Other Administrative Services
  • Providence
  • Apple Valley, CA OTHER
  • Description

    Under the supervision of the Director, the Provider Relations Representative functions as a liaison among the contracted physician/specialist offices and St. Joseph Heritage Healthcare. This position provides on-going communication, in-service, orientation, and direction to these contracted provider offices.

    Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

    Required qualifications:

    • Upon request: Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request. See policy for additional information.

    • 1 year' Experience working with physicians in a managed care/IPA, Medical group, health plan or MSO environment with Provider Relations or Customer Service experience.

    Preferred qualifications:

    • Bachelor’s degree in Healthcare Management.

    • 2 years' Managed care Provider Relations experience.

    Why Join Providence?

    Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

    About Providence

    At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

    The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

    Check out our benefits page for more information about our Benefits and Rewards.

    About the Team

    Providence Physician Enterprise (PE) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.

    PE is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.

    We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.

    We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

    We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.

    Requsition ID: 239848
    Company: Providence Jobs
    Job Category: Provider Network
    Job Function: Health Plans Services
    Job Schedule: Full time
    Job Shift: Day
    Career Track: Business Professional
    Department: 7520 OTHER ADMINISTRATIVE SERVICES CA HIGH DESERT
    Address: CA Apple Valley 19333 Bear Valley Rd
    Work Location: St Mary High Desert Medical Grp-19333 Bear Vly Road
    Pay Range: $22.48 - $35.76
    The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

    Check out our benefits page for more information about our Benefits and Rewards.

    Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

  • 29 Days Ago

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Client Relations Representative
  • Creative Perspective
  • Highland, CA FULL_TIME
  • Creative Perspectives Management partners with businesses to establish brands and improve loyalty with competent campaigns. We are dedicated to going the extra mile to ensure that our marketing strate...
  • 1 Month Ago

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Provider Patient Concierge Representative
  • RadNet
  • Victorville, CA FULL_TIME
  • Overview: Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Radiology Forward. With dynamic cross-training and advancement opportunities in...
  • 1 Day Ago

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Provider Patient Concierge Representative
  • Radnet Management, Inc.
  • Victorville, CA FULL_TIME
  • ResponsibilitiesArtificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Leading Radiology Forward. With dynamic cross-training and advancement op...
  • 6 Days Ago

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RN Visiting Nurse
  • TRIUNE HOME HEALTH PROVIDER
  • Hesperia, CA FULL_TIME
  • We are a family owned home health care provider. We have an open position for home health Registered Nurses to visit home bound patients based on doctors orders. The professional nurse builds from the...
  • 8 Days Ago

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Physician Assistant or Nurse Practitioner
  • HERITAGE PROVIDER NETWORK, INC.
  • San Bernardino, CA FULL_TIME
  • Position Summary: Provides primary health care and performs selective medical services under the direction of their Supervising Physician and Medical Director. Essential Duties and Responsibilities in...
  • 1 Month Ago

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0 Provider Relations Representative, Sr. jobs found in Rialto, CA area

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Customer Relations Representative
  • MaxLite
  • Anaheim, CA
  • Customer Relations Representative Customer Relations Job Type Full-time Description **Customer Relations Representative*...
  • 4/26/2024 12:00:00 AM

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Customer Service Rep (Sunday- Friday 8am-430pm $17.50)
  • GEODIS
  • Rialto, CA
  • Customer Service Representative Text DELIVER to 88300 to apply or check out more jobs at www.workatgeodis.com! Find your...
  • 4/26/2024 12:00:00 AM

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FT Customer Service Representative - Work From Home>
  • ARIVE
  • Bloomington, CA
  • [Call Center / Remote] Anywhere in U.S. / Up to $50K per year / Medical, Dental and Vision / 401k match / PTO - As a Cus...
  • 4/25/2024 12:00:00 AM

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Customer Service Representative
  • E-Z Mix Inc
  • Rialto, CA
  • Job Description Job Description Interested Candidates will need to complete an application onsite from Monday through Fr...
  • 4/24/2024 12:00:00 AM

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Customer Relations Representative - State Farm Agent Team Member
  • Ngoc Phung - State Farm Agent
  • Santa Ana, CA
  • Position Overview: Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to t...
  • 4/24/2024 12:00:00 AM

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Customer Service Representative
  • Walmart
  • San Bernardino, CA
  • **Job Title: Customer Service Representative (Walmart)** **Job Summary:** As a Customer Service Representative at Walmar...
  • 4/24/2024 12:00:00 AM

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Preschool Services Coordinator for San Bernardino North East Unit
  • St. Elizabeth's Medical Center
  • San Bernardino, CA
  • SUMMARY: Under the direct supervision of the Program Manager is responsible for coordinating the services and support av...
  • 4/23/2024 12:00:00 AM

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Client Representative
  • Summit Strive Consulting
  • San Bernardino, CA
  • Job Description Job Description Job Title: Client Representative Company Overview: Join our passionate team dedicated to...
  • 4/23/2024 12:00:00 AM

Rialto is a city in San Bernardino County, California, United States. The population was 99,171 with the 2010 Census. Rialto is home to four major regional distribution centers: Staples Inc., which serves stores across the entire West Coast of the United States, Toys "R" Us, Under Armour and Target in the northern region of the city, in the Las Colinas community. One of the United States' largest fireworks companies, Pyro Spectaculars, is also headquartered in Rialto. Rialto is located at 34°6′41″N 117°22′57″W / 34.11139°N 117.38250°W / 34.11139; -117.38250 (34.111360, −117.382403). Accordi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$75,528 to $93,664
Rialto, California area prices
were up 3.0% 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