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Provider Relations Associate Jobs in Pennsylvania

The Pennsylvania State University

$39K - $49K/yr

This position provides leadership for Penn State Extension's statewide community, legislative, and ... Associate Director of Community Relations oversees a team of Client Relationship Managers and ...

Lehigh University

$83K - $102K/yr

Development/ Alumni Relations Associate Director, Development and Alumni Relations Join Lehigh ... Manages internal communications by providing regular performance reports to supervisors and keeping ...

TEAM FX

Guest Relations Teammate

New Freedom, PA · On-site

Job Type Full-time, Part-time Description FX Studios is committed to providing exceptional customer ... The Guest Relations Teammate is a direct representation of FX and provides the guests first and ...

TEAM FX

Guest Relations Teammate

New Freedom, PA · On-site

Job Type Full-time, Part-time Description FX Studios is committed to providing exceptional customer ... The Guest Relations Teammate is a direct representation of FX and provides the guests first and ...

TEAM FX

Guest Relations Teammate

New Freedom, PA

Description FX Studios is committed to providing exceptional customer service to each and every guest; we want each guest's experience to be nothing less than exceptional! The Guest Relations ...

Talent Groups

Enrollment Coordinator

Philadelphia, PA · On-site

At least two (2) years medical insurance verification/provider relations. * Working knowledge of ... Associate's Degree * Minimum Degree Required: Completed High School (Diploma or GED) #LI-Hybrid

Mindlance

Enrollment Coordinator

Philadelphia, PA · On-site

OR At least two (2) years medical insurance verification/provider relations. * Working knowledge of ... Preferred Education: Associate's Degree. Required Certifications & Licensure: * N/A Preferred ...

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Provider Relations Associate information

What is a provider relations associate?

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?

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 Pennsylvania? The most popular types of Provider Relations jobs in Pennsylvania are:
What are popular job titles related to Provider Relations Associate jobs in Pennsylvania? For Provider Relations Associate jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Provider Relations Associate jobs in Pennsylvania look for? The top searched job categories for Provider Relations Associate jobs in Pennsylvania are:
What cities in Pennsylvania are hiring for Provider Relations Associate jobs? Cities in Pennsylvania with the most Provider Relations Associate job openings:
Provider Relations Associate jobs near you
Infographic showing various Provider Relations Associate job openings in Pennsylvania as of August 2026, with employment types broken down into 100% Full Time. Highlights an 80% In-person, and 20% Remote job distribution.

Provider Relations Coordinator - Optical

Vision Benefits of America (VBA)

Carnegie, PA • On-site

$45K - $47K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Job description

As Vision Benefits of America (VBA) continues to enjoy unprecedented growth, we have a business need to expand internal resources to assist optometrists, ophthalmologists, retail locations, and laboratories. As a Provider Relations Coordinator, you will be involved in every aspect of the provider relationship. You will resolve provider issues, aid in the creation of network-related materials, provide benefit coverage guidance, answer payment inquiries, and educate providers on VBA processes. Exemplary customer service, the ability to multi-task, dependability, and top-notch communication skills are necessary for success in this position. Direct experience working in an optical field is preferred, but not required.

Salary: $45,000 - $47,000 per year, contingent on experience.

This position is remote. Our office in Carnegie, PA will remain accessible for use as needed. Selected candidate must be available to report to our office occasionally for team/company meetings. The working hours for this position are Monday-Friday 10am-6pm with an hour paid lunch,

Computer and software provided by VBA. Employee must have reliable internet connection and a quiet workspace.


Essential Job Functions

Provide outstanding service by being proactive and responsive to all provider and lab questions

Educate provider locations on the use of VBA authorization system, policies and procedures

Provide support to providers and labs including entering and editing authorizations, adjusting claims, and researching claim payments

Analyze processes for improved efficiencies and ability to adapt to changes

Maintain provider and location information, including data entry and reconciliation of practice information

Assist with overflow credentialing outreach and research projects, as needed

Process provider and lab applications and contracts for network participation, securing necessary documents, such as licenses and professional liability insurance information

Handle sensitive information in compliance with HIPAA

Maintain a current knowledge of the newest optical technologies

Perform activities and functions of related lower-level personnel as assigned or required

The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of this position.


Requirements

EDUCATION: Associate's degree or equivalent work experience. Bachelor's degree is preferred.

EXPERIENCE: 2-4 years of full-time experience working in an optician role in an optometrist/ophthalmologist office or an optical provider relations role. Experience educating customers on lens options and frame selection and dispensing glasses is preferred. Experience with vision insurance claims is preferred.


Benefits

Full-time, permanent VBA employees receive a comprehensive benefit package including:

Health, Dental, Vision, Disability, and Life Insurance Benefits

Voluntary 401(k) Deferred Compensation Plan with Company Match

Education and Student Loan Assistance

Paid Holidays, Paid Parental Leave, and Personal Time Off