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)
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.
Required Licensure/Certifications
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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.