Provider Relations Representative, Sr. jobs in New Hampshire

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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Patient Relations Specialist Sr
  • Dartmouth Health
  • Lebanon, NH OTHER
  • Overview

    In partnership with hospital leaders manages feedback to include: compliments, complaints and grievances from initial point of contact, through appropriate documentation, investigation and resolution. Requires excellent active listening skills, empathic responsiveness, critical thinking, problem solving and conflict resolution. Demonstrates discretion with information sharing. Responsible for reviewing data trends and reporting results to appropriate departmental, divisional or senior leaders. Facilitates interdepartmental collaboration to achieve improvement initiatives. Successful individuals in this positon require a high degree of emotional intelligence, boundary setting and emotional maturity. Frequently required to discuss complex situations and facilitate family meetings. Serves as a mediator between patient and family and D-H leaders. Works in collaborative partnership with the Office of the CEO, Nursing Leadership, Risk Management, Legal and Patient Financial Services.


    Responsibilities
    1. Assures compliance with all regulatory requirements for grievance resolutions and reporting.
    2. Maintains database for tracking and trending complaints and grievances. Compiles data for analysis; identifying areas of opportunity to improve patient experiences.
    3. Generates statistical data and feedback regarding trending of complaints and grievances to leadership, as well as specific departments.
    4. Partners with colleagues to develop and implement initiatives targeted to improve patient experience.
    5. Serves as an advocate for patients and their family members prior to, during and following their care at Dartmouth-Hitchcock (D-H).
    6. Provides staff education in areas related to patient relations including: patient needs and expectations, patient rights and responding to patient complaints and grievances to build and sustain a patient-customer focused culture.
    7. Reports identified or potential risk issues to Risk Management or Quality Assurance & Safety leadership.
    8. Works closely with liability carrier and General Counsel in response to issues that represent potential liability or claims of malpractice or negligence.
    9. Assists with the development and revision of policies, procedures and guidelines i.e. Patient Relations, Patient Rights and Complaint and Grievance resolution.
    10. Performs other duties as required or assigned.

    Qualifications
    • Bachelor’s degree in a healthcare related field and 5 years of experience in a patient/customer oriented position or the equivalent in education and experience required.
    • Strong negotiation and communication skills with the ability to work independently required.
    • Ability to handle confidential material with maturity, sensitivity and discretion.
    • High impact communication: excellent oral and written communication skills, including ability to listen, empathize, de-escalate and critically think through issues and potential solutions.
    • Excellent interpersonal skills to include working with external parties, providers and families. Social perceptiveness necessary.
    • Learning and teaching strategies for ongoing service recovery skill building.
    • Ability to work with minimal supervision and maintain a high degree of communication of current work activity with supervisors.
    • Excellent self-control and negotiation skills to effectively manage difficult situations and persons.
    • Adaptability with a high tolerance for ambiguous work situations.

    Required Licensure/Certifications

    - None

    Don't meet every single requirement?

    Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Dartmouth Hitchcock Medical Center and Clinics, we are dedicated to building a diverse, inclusive and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.

    • Area of Interest: Professional/Management;
    • FTE/Hours per pay period: 1.00 - 1.00 - 40 hrs/week;
    • Shift: Day;
    • Job ID: 23560;

    Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

  • 1 Month Ago

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Provider Network Manager Sr
  • Elevance Health
  • MANCHESTER, NH FULL_TIME
  • Description Location: NH-Manchester, MA-Boston, MA-Woburn, MA-Newton, CT-Rocky Hill Job Description Summary: Develops the provider network through contract negotiations, relationship development, and ...
  • 6 Days Ago

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Provider Network Manager Sr
  • The Elevance Health Companies, Inc.
  • MANCHESTER, NH FULL_TIME
  • Anticipated End Date: 2024-07-31 Position Title: Provider Network Manager Sr Job Description: Location: NH-Manchester, MA-Boston, MA-Woburn, MA-Newton, CT-Rocky Hill Job Description Summary: Develops ...
  • 18 Days Ago

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Customer Relations Representative
  • Valley News
  • West Lebanon, NH FULL_TIME
  • Customer RelationsRepresentative The Valley News, a print and digital media company, is looking for a customer relations representative to join our team. If you enjoy working with people, have a posit...
  • Just Posted

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Provider Network Operations Claims Analyst Sr (hybrid)
  • AmeriHealth Caritas Health Plan
  • Manchester, NH FULL_TIME
  • Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities....
  • 9 Days Ago

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Provider Network Operations Data Analyst Sr (hybrid)
  • AmeriHealth Caritas Health Plan
  • Manchester, NH FULL_TIME
  • Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities....
  • 2 Months Ago

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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
  • 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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Provider Relations Representative
  • American Health Plans
  • Milledgeville, GA
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 6/10/2024 12:00:00 AM

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Customer Relations Representative
  • Cashdollar Insurance Agency Inc
  • North Versailles, PA
  • Job Description Job Description Are you outgoing and customer-focused? Do you enjoy working with the public? If you answ...
  • 6/10/2024 12:00:00 AM

3
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

New Hampshire is part of the six-state New England region. It is bounded by Quebec, Canada, to the north and northwest; Maine and the Atlantic Ocean to the east; Massachusetts to the south; and Vermont to the west. New Hampshire's major regions are the Great North Woods, the White Mountains, the Lakes Region, the Seacoast, the Merrimack Valley, the Monadnock Region, and the Dartmouth-Lake Sunapee area. New Hampshire has the shortest ocean coastline of any U.S. coastal state, with a length of 18 miles (29 km), sometimes measured as only 13 miles (21 km). New Hampshire was home to the rock forma...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$73,074 to $90,621

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