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Provider Relations Associate Jobs in Michigan (NOW HIRING)

Homedics

Consumer Relations Representative

Commerce, MI · On-site

... providing support to the end-users of our products. This position is for the 10:15 am - 7:00 pm ... Associates degree or equivalent experience required. * 1-2 years call center experience, preferably ...

McLaren

Quality & Accreditation Specialist

Flint, MI · On-site

Works with Plan departments, such as Quality, Contracting, Provider Relations, Member Services ... Required: * Associate degree in a health care field or equivalent work. * Four (4) years ...

Agilon Health

Program Coordinator

Grand Rapids, MI · Hybrid

$18 - $22.10/hr

Associate's Degree, Bachelor's Degree; or equivalent work experience required Skills and Abilities ... provider relations field-desired 3. Excellent interpersonal and telephone communication skills are ...

agilon health

Program Coordinator

Grand Rapids, MI · On-site

$18 - $22.10/hr

Associate's Degree, Bachelor's Degree; or equivalent work experience required Skills and Abilities ... provider relations field-desired 3. Excellent interpersonal and telephone communication skills are ...

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Provider Relations Associate information

What are Provider Relations Associates?

Provider Relations Associates are professionals who serve as the primary point of contact between healthcare providers (such as doctors and hospitals) and insurance companies or healthcare organizations. Their main responsibilities include maintaining positive relationships with providers, addressing concerns or issues, educating providers about policies and procedures, and ensuring compliance with contracts. They play a key role in facilitating communication and resolving any disputes to ensure efficient healthcare delivery and satisfaction on both sides.

What are the main challenges Provider Relations Associates face when working with healthcare providers?

Provider Relations Associates often navigate complex communication channels between healthcare providers and insurance companies. One common challenge is addressing concerns or resolving issues related to provider contracts, reimbursement, and compliance with policies. Balancing the needs of providers with organizational guidelines requires strong negotiation and problem-solving skills. Additionally, maintaining positive relationships while handling high volumes of inquiries and ensuring accurate documentation can make the role fast-paced and demanding, but also rewarding for those who enjoy dynamic, collaborative environments.

What are the key skills and qualifications needed to thrive as a Provider Relations Associate, and why are they important?

To thrive as a Provider Relations Associate, you need a solid understanding of healthcare administration, contract management, and provider network operations, usually supported by a bachelor's degree in a related field. Familiarity with healthcare management systems, claims processing platforms, and proficiency in Microsoft Office Suite are commonly required. Strong interpersonal communication, negotiation, and problem-solving abilities are vital soft skills for building and maintaining positive relationships with healthcare providers. These competencies ensure effective collaboration, resolve issues efficiently, and support the overall performance of the provider network.

What is the difference between Provider Relations Associate vs Provider Relations Coordinator?

AspectProvider Relations AssociateProvider Relations Coordinator
Required CredentialsHigh school diploma or equivalent; some roles prefer healthcare or customer service experienceHigh school diploma; healthcare or administrative experience often preferred
Work EnvironmentOffice setting, healthcare organizations, insurance companiesOffice environment, healthcare facilities, insurance providers
Employer & Industry UsageHealthcare insurers, provider networks, managed care organizationsHealthcare insurers, provider networks, healthcare administration
Common Search & Comparison IntentYesYes

The Provider Relations Associate and Provider Relations Coordinator roles share similarities in work environment and industry usage, often involving communication with healthcare providers and supporting network relations. The main differences lie in responsibilities: associates typically handle basic provider inquiries and data entry, while coordinators may oversee provider onboarding and relationship management. Both roles require similar credentials and are vital in healthcare administration, making them common points of comparison for job seekers in this field.

What are the most commonly searched types of Provider Relations jobs in Michigan? The most popular types of Provider Relations jobs in Michigan are:
What cities in Michigan are hiring for Provider Relations Associate jobs? Cities in Michigan with the most Provider Relations Associate job openings:
Provider Relations Associate jobs near you

Customer Relations Representative - State Farm Agent Team Member

Rich Sheldon - State Farm Agent

Paris, MI • On-site

$40K - $45K/yr

Full-time

Retirement, PTO

Re-posted 17 days ago

Job description

Benefits:
  • 401(k)
  • Bonus based on performance
  • Competitive salary
  • Flexible schedule
  • Opportunity for advancement
  • Paid time off
  • Training & development

ROLE DESCRIPTION:
As an Customer Relations Representative - State Farm Agent Team Member for Rich Sheldon - State Farm Agent, you are vital to our daily business operations and customers’ success. You grow our agency through meaningful client relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services.
Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team.
RESPONSIBILITIES: 
  • Establish customer relationships and follow up with customers, as needed.
  • Provide prompt, accurate, and friendly customer service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification
  • Promote successful and long-lasting customer relations. 

QUALIFICATIONS:
  • Experience in sales (outside sales or inside sales representative, retail sales associate, or telemarketing) preferred
  • Experience managing client relationships is preferred
  • Interest in marketing products and services based on customer needs
  • Excellent communication skills - written, verbal, and listening
  • Dedicated to customer service
  • Able to anticipate customer needs
  • Able to effectively relate to a customer