
Provider Relations Representative, Senior
We’re looking for a highly organized, compassionate, and dedicated individual to join our team as a Senior Provider Relations Representative at Blue Shield of California. In this role, you’ll be the primary point of contact for all provider relations inquiries and will build strong relationships with our providers to ensure we provide high-quality service and support. You’ll have the opportunity to work with a passionate team in a collaborative and inclusive environment.If you have a strong background in provider relations and a passion for making a positive impact in the healthcare industry, we’d love to hear from you! To be successful in this role, you’ll need to have a minimum of five years of experience in provider relations, an understanding of healthcare reimbursement, and excellent communication skills. If this sounds like you, we can’t wait to learn more about your qualifications and experience.
Responsibilities:
- Serve as the primary point of contact for all provider relations inquiries.
- Build strong relationships with providers to ensure high-quality service and support.
- Collaborate with a passionate team in an inclusive environment.
- Ensure that healthcare reimbursement requirements are met.
- Provide timely responses to provider inquiries and requests.
- Maintain accurate records of provider interactions.
- Document any issues that arise and work with other departments to resolve them.
- Develop and implement strategies to improve provider relations.
- Stay up-to-date with industry trends and regulations.
- Monitor performance metrics to ensure provider satisfaction.
Knowledge Of Medical Terminology
Proficient In Microsoft Office Suite
Excellent Interpersonal And Communication Skills
Strong Customer Service Skills
Knowledge Of Managed Care Delivery Systems
Ability To Maintain Positive Customer Relations
Ability To Analyze And Solve Complex Problems
Ability To Multi-Task And Prioritize Work
Documentation
Training
Networking
Marketing
customer service
Compliance
Contracting
Administrative
Coordinating
Problem-Solving
Interpersonal
Negotiating
Analyzing
Facilitating
Revenue Enhancement
Communication
Leadership
Time management
Interpersonal Skills
Organization
Critical thinking
Creative Thinking
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Provider Relations Representative, Senior in Costa Mesa, CA, USA is $61,000 to $77,000 per year. This salary range is based on the current salary data available for this position in the Costa Mesa area. Salary information 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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