Provider Relations Specialist

Provider Relations Specialist job description

The provider relations specialist builds and maintains strong relationships with healthcare providers to ensure smooth operations and compliance with network standards. This role serves as the primary liaison between providers and the organization, addressing inquiries, resolving issues and supporting credentialing processes.

Working closely with internal teams and external partners, the provider relations specialist monitors provider performance, communicates policy updates and assists with onboarding. This position plays a critical role in enhancing provider satisfaction and supporting organizational goals through effective relationship management.

Typical provider relations specialist duties:

Serve as the main point of contact for providers regarding network participation and policies

Assist with credentialing, contracting and onboarding processes for new providers

Communicate updates on compliance requirements, reimbursement policies and operational changes

Resolve provider inquiries and issues promptly and professionally

Monitor provider performance and collaborate on improvement initiatives

Maintain accurate provider records in internal systems and ensure timely updates

Support audits and reporting related to provider network compliance

Coordinate with internal departments to streamline provider support and services

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National salary range for Provider Relations Specialist

41500 - 52750

Low

41500

The candidate is new to the role or has limited experience and is still developing core skills.

Mid

45750

The candidate has moderate experience in the role or one similar, meets most requirements and may hold transferable skills or relevant certifications.

High

52750

The candidate has extensive experience in the role, demonstrates advanced skills and often brings specialized certifications or industry experience.

Projected salaries for related positions

Job title

Low

Mid

High

Member Services/Enrollment Manager

60250

68500

79250

Member Services/Enrollment Specialist

37000

42500

48750

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