Provider Relations Representative, Sr. jobs in California

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
  • Tarzana Treatment Centers
  • Long Beach, CA FULL_TIME
  • Position Title: Provider Relations Representative

    Department: Business Development

    Reports To: Director of Business Development

    Position Summary

    External sales, 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 Tarzana Treatment Centers, Inc. (TTC). Includes representing TTC at various trade shows and conferences. The primary focus for this position will be on Private Insurance and Private Pay business. This is primarily a field-based position that will require local travel in an assigned territory.

    SALARY RANGE

    $27.50 - $43.50 / per hour DOE

    We Offer a Competitive Benefits Package

    • Medical Insurance
    • Dental Insurance
    • Vision Care Plan
    • Life Insurance
    • Paid Holidays (12)
    • Paid Vacation Time
    • Sick Time
    • 401(k) Retirement Plan
    • Competitive wages
    • Stability and career advancement
    • Continuing Education Opportunities

    HOURS

    • 8 per Day/ 5 Days per Week
    • Local Travel Expectation: 70%

    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 TTC’s target market.
    • Represent TTC and maintain the highest standards of professionalism and customer service.
    • Coordinate with hospital staff to manage referrals to TTC 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 TTC programs and services while also providing education about our admissions process
    • Represent TTC 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 TTC and assist the TTC Business Development Director and Business Development Committee with sales, marketing, customer service and other business development activities.
    • Enter marketing contacts information and data in TTC’s customer relations management software.
    • Other duties as assigned by Director

    Education/Experience

    The minimum requirements for the position are 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 filed 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.

    SETTING

    Tarzana Treatment Centers, Inc. (TTC) is a non-profit corporation, which provides behavioral healthcare services.

    EQUAL OPPORTUNITY EMPLOYER

    Tarzana Treatment Centers, Inc. does not discriminate as to race, nationality, religion, gender, sexual orientation and disability in its hiring practices.

    ADA REQUIREMENT

    Tarzana Treatment Centers, Inc. supports the American with Disabilities Act. Discrimination is prohibited in all aspects of employment against disabled persons, who, with reasonable accommodations, can perform the essential functions of a job.
  • Just Posted

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Provider Relations Representative I
  • Partnership HealthPlan of California
  • Fairfield, CA FULL_TIME
  • Overview To establish and maintain excellent relationships with the provider network in a specific geographic region, including healthcare practitioners, office staff, and administrators. Works closel...
  • 17 Days Ago

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Provider Relations Representative (Bilingual Chinese)
  • CLEVER CARE OF GOLDEN STATE INC
  • Arcadia, CA FULL_TIME
  • Wage Range: $24.00/hr - $28.00/hr Job Summary This position serves as an integral member of the Provider Relations and Contracting Team and reports to the Senior Manager of Community & Provider Develo...
  • 10 Days Ago

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Provider Relations Representative - Oxnard, CA
  • UnitedHealth Group
  • Oxnard, CA FULL_TIME
  • Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connectin...
  • 1 Month Ago

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Provider Relations Representative (Bilingual Chinese)
  • Clever Care Health Plan
  • Arcadia, CA FULL_TIME
  • Job DetailsJob LocationArcadia Office - Arcadia, CAPosition TypeFull TimeDescriptionWage Range: $24.00/hr - $28.00/hrJob SummaryThis position serves as an integral member of the Provider Relations and...
  • 14 Days Ago

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SR PROVIDER RELATION REPRESENTATIVE
  • River City Medical Group
  • Sacramento, CA FULL_TIME
  • Job Summary:Collaborates closely with the provider community to identify and resolve issues, provide education, and staff training, and to ensure compliance with our providers. Maintains accuracy of p...
  • 20 Days Ago

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Customer Relations Representative
  • Bruno
  • Oconomowoc, WI
  • Overview This position is responsible to serve customers via a call-center. Provide product and sales information, proce...
  • 6/11/2024 12:00:00 AM

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Guest Relations Representative
  • Six Flags Great Adventure
  • Jackson, NJ
  • Assist Guests with questions, comments, concerns they may have about their experience while visiting Six Flags. Resolve ...
  • 6/10/2024 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...
  • 6/10/2024 12:00:00 AM

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Customer Relations Representative
  • Olympus Executives
  • Garland, TX
  • Are you a dedicated, self-driven individual with a passion for providing outstanding customer support? Do you have a rep...
  • 6/10/2024 12:00:00 AM

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Customer Relations Representative
  • Upstate Niagara Cooperative, Inc.
  • Lancaster, PA
  • ** Customer Relations Representative** **Job Category****:** Customer Service **Requisition Number****:** CUSTO001807 Sh...
  • 6/10/2024 12:00:00 AM

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Customer Relations Representative
  • 3rd Degree Solutions
  • Roseville, CA
  • 3rd Degree Solutions is a fast-paced customer acquisition company dedicated to helping our clients expand their customer...
  • 6/8/2024 12:00:00 AM

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Patient Relations Representative
  • Gastro Health
  • Delray Beach, FL
  • Gastro Health is seeking a Full-Time Patient Relations Representative to join our team! Gastro Health is a great place t...
  • 6/7/2024 12:00:00 AM

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Team Relations Representative
  • Onin Staffing
  • Chattanooga, TN
  • Job Description Job Description The On-Site role will be based at a client site. This position is the primary liaison be...
  • 6/7/2024 12:00:00 AM

California is a state in the Pacific Region of the United States. With 39.6 million residents, California is the most populous U.S. state and the third-largest by area. The state capital is Sacramento. The Greater Los Angeles Area and the San Francisco Bay Area are the nation's second and fifth most populous urban regions, with 18.7 million and 9.7 million residents respectively. Los Angeles is California's most populous city, and the country's second most populous, after New York City. California also has the nation's most populous county, Los Angeles County, and its largest county by area, S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$79,253 to $98,284

Provider Relations Representative, Sr. in Duluth, MN
Held meetings with providers to review new policies, products and issue resolution.
January 14, 2020
Provider Relations Representative, Sr. in Norwich, CT
The continued upward spiral in health care costs has challenged sponsors, providers and payers of health benefits to deliver high quality care in the most cost-effective manner possible.
January 21, 2020
Provider Relations Representative, Sr. in Poughkeepsie, NY
The specific duties of customer service representatives vary by industry.
December 25, 2019