
Provider Relations Representative, Senior
We are looking for an experienced, collaborative, and detail-oriented Senior Provider Relations Representative to join Blue Shield of California's Provider Relations team. In this role, you will have the opportunity to manage a portfolio of providers and help ensure successful partnerships with our clients. To excel in this position, you should have excellent interpersonal and problem-solving skills, be comfortable working in a fast-paced environment, and have a customer service-oriented attitude.The successful candidate will have a minimum of 5 years of experience in a similar role and hold a Bachelor’s degree in healthcare, business, or a related field. In addition, you should have a robust understanding of healthcare provider operations and possess strong analytical and critical thinking skills. If you are passionate about helping people and enjoy working with providers and partners, then we want to hear from you!
Responsibilities:
- Manage a portfolio of providers and ensure successful partnerships with clients.
- Provide excellent customer service to providers and partners.
- Develop and maintain relationships with providers and partners.
- Monitor and analyze provider operations and performance.
- Identify and address potential issues in provider relations.
- Develop and implement strategies to improve provider relations.
- Communicate with providers and partners to resolve issues and ensure satisfaction.
- Ensure compliance with applicable laws and regulations.
- Prepare reports and presentations for management.
- Stay up to date with industry trends and developments.
Strong Communication Skills
Knowledge Of Healthcare Industry
Ability To Work Independently
Proficiency In Ms Office Suite
Analytical And Problem-Solving Skills
Ability To Build Relationships
Knowledge Of Provider Contracting And Reimbursement Process
Experience In Customer Service And/Or Provider Relations
Data Entry
Networking
Communication
Attention to detail
Conflict Resolution
Auditing
customer service
Researching
Collaboration
Organization
Problem-Solving
Interpersonal
Negotiating
Analyzing
Insurance Knowledge
Communication
Leadership
Negotiation
Time management
Interpersonal Skills
flexibility
Critical thinking
Organizational skills
Teamwork
Problem-Solving
According to JobzMall, the average salary range for a Provider Relations Representative, Senior in Palo Alto, CA, USA is $51,000 to $71,000. This range is based on salaries reported by job seekers and employers. The salary range may vary depending on experience, location, and other factors.
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Blue Shield of California is a health plan provider founded in 1939 and based in Oakland, California. The organization serves over 4 million health plan members and nearly 65,000 physicians across the state. Blue Shield of California was founded by the California Medical Association.

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