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Provider Relations Specialist

Provider Relations Specialist Job Description

Serves as a healthcare insurance company's liaison with hospitals and other providers. Educates providers concerning network participation and other plan policies and procedures. Investigates and resolves providers’ inquiries regarding claims submission and processing, including reimbursement issues. Requires the ability to explain and differentiate among multiple insurance plans and contract features. May work directly with plan members to assist in locating the best medical treatment supported by their plan.

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Salary for Provider Relations Specialist
39250 - 50500
25th percentile
39250
The candidate is new to the role and building the needed skills, experience and autonomy.
50th percentile
43500
The candidate has the experience to perform core responsibilities without direct supervision and is comfortable with the role’s processes and subject matter.
75th percentile
50500
The candidate delivers value beyond the stated job duties, has advanced qualifications and experience, and is ready for the next career level.
Projected salaries for related positions Position title 25th percentile 50th percentile 75th percentile Member Services/Enrollment Manager 59250 65000 74250 Member Services/Enrollment Specialist 36250 40500 48000

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