Provider Relations Representative, Sr. jobs in Santa Clarita, 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
  • MBI Health Services - California
  • West Hollywood, CA FULL_TIME
  • Position Title: Provider Relations Representative

    Job Type: Full-Time / Hybrid
    Department: Business Development
    Reports To: Senior Vice President

    POSITION SUMMARY
    Marketing and referral development activities geared toward specific market segments including, but not limited to; Medical Groups, Independent Practice Associations, Hospitals, Private Physicians, Mental Health Professionals, Insurance companies and other target markets as deemed appropriate by MBI Health Services Inc. (MBI). Includes representing MBI at community events and conferences. The primary focus for this position will be on Private Insurance and Private Pay business. This is primarily a Hybrid position with some field-based work that will require local travel in an assigned territory. You will report to the office 1 day/week for supervision

    STARTING PAY
    $26.50

    CATEGORIES OF DUTIES

    • Develop new and maintain existing referral relationships with physicians, hospitals, social workers, case managers, administrators, and community-based organizations while focused on the MBI target market.
    • Represent MBI and maintain the highest standards of professionalism and customer service.
    • Coordinate with hospital staff to manage referrals to MBI while providing education about facility admissions criteria, insurances accepted, and resolving any barriers in the access to care of our patients.
    • Plan and conduct in-service meetings that will highlight the features and benefits of MBI programs and services while also providing education about our admissions process
    • Represent MBI at networking and community events throughout an assigned territory.
    • Tracking referrals through coordinating efforts with the Assessment & Referral & Utilization Review Departments resulting from sales and marketing activities.
    • Attend assigned agency committee and supervision meetings.
    • Participate in the design and development of marketing materials including brochures, flyers, newsletters, other agency related information.
    • Complete written Daily Activity Reports (DARs) and submit on a timely basis.
    • Attend community meetings as designated by MBI and assist the MBI Business Development Director and Business Development Committee with sales, marketing, customer service and other business development activities.
    • Enter marketing contacts information and data in MBI’s customer relations management software.

    EDUCATION/EXPERIENCE

    • The minimum requirements for the position are a BA/BS degree in Marketing or another healthcare related field OR high school graduate with at least 2 years healthcare or marketing experience.
    • Experience in a psychiatric facility or facility with a substance use disorder (SUD)/mental health focus preferred.
    • Experience with private insurance and managed behavioral healthcare companies.
    • Previous field based experience a must.
    • A self-starter with excellent time management, critical thinking, and great interpersonal skills.
    • Must have a California driver’s license as travel is required.
    • Must be able to multitask and be familiar with MS Word, Outlook and Excel.

    We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

    Job Type: Full-time

    Pay: From $26.50 per hour

    Expected hours: 40 per week

    Schedule:

    • 8 hour shift
    • Day shift
    • Evening shift
    • Monday to Friday
    • No weekends

    People with a criminal record are encouraged to apply

    Ability to Relocate:

    • West Hollywood, CA 90046: Relocate before starting work (Required)

    Work Location: Hybrid remote in West Hollywood, CA 90046

  • 29 Days Ago

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Provider Relations Specialist (ACO)
  • ApolloMed
  • El Monte, CA FULL_TIME
  • Job Title: Provider Relations Specialist Department: Provider Relations Department About the Role: We are currently seeking a highly motivated Provider Relations Specialist responsible for field and o...
  • 6 Days Ago

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West Director of Provider Relations
  • Luna Physical Therapy
  • Los Angeles, CA FULL_TIME
  • About LunaPhysical therapy is powerful—for developing strength, managing emerging conditions, or recovering from surgery. But it’s challenging for physical therapy to make a significant clinical impac...
  • 9 Days Ago

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West Director of Provider Relations
  • Luna Physical Therapy
  • Los Angeles, CA FULL_TIME
  • About LunaPhysical therapy is powerful—for developing strength, managing emerging conditions, or recovering from surgery. But it’s challenging for physical therapy to make a significant clinical impac...
  • 9 Days Ago

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Manager - Provider Relations
  • Astrana Health
  • El Monte, CA FULL_TIME
  • Job Title: Manager - Provider Relations Department: Provider Relations Department About the Role: We are currently seeking a highly motivated Provider Relations Manager. This role will report to our D...
  • 1 Month Ago

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Provider Relations Specialist
  • Astrana Health
  • El Monte, CA FULL_TIME
  • Job Title: Provider Relations Specialist Department: Provider Relations Department About the Role: We are currently seeking a highly motivated Provider Relations Specialist responsible for field and o...
  • 1 Month Ago

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

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Hiring Now - Customer Service Representative
  • Elite Marketing Strategies
  • North Hollywood, CA
  • Join our team at Elite Marketing Strategies and be a part of our mission to provide exceptional customer service and sup...
  • 4/19/2024 12:00:00 AM

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Customer Service Representative
  • Walmart
  • Canyon Country, CA
  • **Job Title: Customer Service Representative (Walmart)** **Job Summary:** As a Customer Service Representative at Walmar...
  • 4/19/2024 12:00:00 AM

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Customer Service Representative
  • Walmart
  • Northridge, CA
  • **Job Title: Customer Service Representative (Walmart)** **Job Summary:** As a Customer Service Representative at Walmar...
  • 4/19/2024 12:00:00 AM

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Call Center Representative
  • San Fernando Community Health Center
  • San Fernando, CA
  • Job Description Job Description Duties: Manage large volumes of inbound and outbound calls promptly. Have basic knowledg...
  • 4/18/2024 12:00:00 AM

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Customer Service Representative - Work from Home - 924600
  • UnitedHealth Group Incorporated
  • Santa Clarita, CA
  • **Customer Service Representative Work from Home** Requisition Number: 924600 Career Area: Customer Service and Claims P...
  • 4/18/2024 12:00:00 AM

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Client Representative
  • Summit Strive Consulting
  • San Fernando, CA
  • Job Description Job Description Job Title: Client Representative Company Overview: Join our passionate team dedicated to...
  • 4/17/2024 12:00:00 AM

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Management Assistant - Customer Service Representative
  • Hankey Group External
  • Valencia, CA
  • Midway Auto Group was named Southern California Top-Rated Places to Work in 2023 due to many factors including our custo...
  • 4/16/2024 12:00:00 AM

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Customer Service Representative
  • Walmart
  • Granada Hills, CA
  • **Job Title: Customer Service Representative (Walmart)** **Job Summary:** As a Customer Service Representative at Walmar...
  • 4/15/2024 12:00:00 AM

Santa Clarita, according to the United States Census Bureau, has an area of 62.16 square miles (161.0 km2), of which 62.10 square miles (160.8 km2) is land and 0.06 square miles (0.16 km2) (0.099%) is water. Santa Clarita is near the San Fernando fault zone and was affected by the 1971 San Fernando earthquake, also known as the Sylmar quake. The city was also affected by the 1994 Northridge earthquake, and many commercial and residential buildings were devastated by its aftermath, including the nearby Newhall Pass, the Valencia Town Center, and Six Flags Magic Mountain. Magic Mountain's 38-st...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$78,746 to $97,656
Santa Clarita, California area prices
were up 3.2% 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