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What does a Provider Relations Representative do?

Photo of Brenna Goyette
Brenna Goyette
Certified Professional Resume Writer, Career Expert

Published 3 min read

A provider relations representative is responsible for maintaining and developing relationships with health care providers. They work to ensure that providers are able to access the resources and information they need, and that they understand the products and services offered by the company. The provider relations representative may also be responsible for resolving issues that providers have with the company.

Provider Relations Representative job duties include:

  • Establish and maintain relationships with health care providers
  • Serve as a liaison between health care providers and the organization
  • Educate providers on the organization’s products and services
  • Resolve provider inquiries and concerns
  • Coordinate provider trainings
  • Monitor provider performance
  • Develop marketing and outreach strategies to promote the organization’s products and services to providers
  • Attend provider fairs and events
  • Generate reports on provider relations activities

Provider Relations Representative Job Requirements

A Provider Relations Representative typically needs at least a bachelor's degree in business, health care administration, or a related field. Certification in provider relations or a related field is also preferred. Prior experience working in provider relations, health care administration, or a related field is also helpful.

Provider Relations Representative Skills

  • Strong communication skills
  • Excellent customer service skills
  • Ability to build relationships
  • Strong negotiation skills
  • Ability to work independently
  • Time management skills
  • Organizational skills
  • Research skills
  • Writing skills
  • Computer skills
  • Analytical skills

Related: Top Provider Relations Representative Skills: Definition and Examples

How to become a Provider Relations Representative

A Provider Relations Representative is a professional who liaises between health care providers and insurance companies. They work to ensure that providers are reimbursed for the services they render to patients, and that patients have access to the care they need.

To become a Provider Relations Representative, one must have a bachelor’s degree in business, health administration, or a related field. Additionally, many employers prefer candidates who have previous experience working in customer service or provider relations. Strong communication and negotiation skills are essential in this role, as is the ability to build relationships with both providers and patients.

Provider Relations Representatives typically work full-time in an office setting. Some travel may be required in order to meet with providers or attend conferences. The job outlook for this career is positive, with an expected growth of 18% from 2018 to 2028.

Related: Provider Relations Representative Resume Example

Related: Provider Relations Representative Interview Questions (With Example Answers)

Editorial staff

Photo of Brenna Goyette, Editor

Editor

Brenna Goyette

Expert Verified

Brenna is a certified professional resume writer, career expert, and the content manager of the ResumeCat team. She has a background in corporate recruiting and human resources and has been writing resumes for over 10 years. Brenna has experience in recruiting for tech, finance, and marketing roles and has a passion for helping people find their dream jobs. She creates expert resources to help job seekers write the best resumes and cover letters, land the job, and succeed in the workplace.

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