Provider relations specialists are responsible for providing customer support on behalf of their companies, particularly to physicians. The salaries of these specialists often depend on their employers; those who work for Celene may make more than $50,000 per year, while those who work for Magellan may make about $40,000 per year.
Provider relations specialists work primarily in office environments. They work regularly with their employers (to improve customer service) clients, co-workers, supervisors, and physicians.
Applicants for this position should have at least a two-year degree in marketing, health care administration, or a related field and two years of work experience relating to health plans. Proficiency with Microsoft Office products is highly beneficial to work fast and multitask, and great communication skills are also important. Those in this position generally work full-time during regular business hours.
Provider Relations Specialist Tasks
Build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers.
May also be involved in identifying and remediating claims.
Assist with the full range of provider relations and service interactions, including working on end-to-end provider claim and call quality and training and development of external provider education programs.