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Provider Relations Associate Jobs in Utah (NOW HIRING)

Associate

Salt Lake City, UT · On-site

$60K/yr

We are a provider of specialized fund administration services for Managers and General Partners of ... relations related to client funds. These responsibilities range from data entry into the client ...

Sales Associate

Saint George, UT · On-site

$14 - $18/hr

Your primary responsibility will be to assist the GM in sales and customer relations to ensure a ... fitness and wellness provider * Book quality appointments to achieve monthly sales quota

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Provider Relations Associate information

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 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 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 is a provider relations associate?

A provider relations associate is responsible for building and maintaining relationships with healthcare providers, such as doctors and clinics, to ensure smooth communication and collaboration. They often handle provider inquiries, assist with credentialing, and support contract negotiations, typically using healthcare management systems and requiring strong communication skills.

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 Utah? The most popular types of Provider Relations jobs in Utah are:
What job categories do people searching Provider Relations Associate jobs in Utah look for? The top searched job categories for Provider Relations Associate jobs in Utah are:
What cities in Utah are hiring for Provider Relations Associate jobs? Cities in Utah with the most Provider Relations Associate job openings:

Provider Relations Associate

Luminary Health

South Jordan, UT • Hybrid

$60K - $90K/yr

Other

Medical, PTO

This job post has expired today. Applications are no longer accepted.


Job description

Company Overveiw


Luminary Health is a nationwide network of specialty surgeons, surgical facilities, anesthesia groups, and other healthcare providers. Providers in the network undergo rigorous credentialing to ensure the highest standard of clinical outcomes and patient satisfaction. With expertise in specialties such as bariatric, spine, total joint, and general surgery, Luminary Health's network has successfully completed thousands of surgeries. This trusted network is utilized by healthcare referral partners and self-funded employers.


Role Description


Luminary Health seeks a Provider Relations Associate to start immediately.


The Provider Relations Associate will be assigned a list of surgical practices to manage. Specifically, the Provider Relations Associate will (1) answer ad-hoc questions about Luminary Health's program from the surgeon or the practice's administrative staff, (2) ensure the practice administrator is aware of all patients who have been referred, (3) secure single case agreements for reimbursement of outlier surgical services (those surgeries not expressly contracted with the payer), (4) collect outcome data related to each surgery performed, and (5) resolve any other issues as needed. In general, the Provider Relations Associate ensures the surgeons and surgical practices on his/her list have a positive experience with Luminary Health!


Luminary Health has a hybrid work-from-home model with offices in South Jordan, UT.


Qualificiations


The Provider Onboarding Associate must be (1) organized, (2) reliable, and (3) a hard worker. Experience in the healthcare industry (particulary in a private surgical practice) is a benefit but not absolutely required. Ample training will be provided.


Compensation


Compensation will be an annual salary between $60,000 to $90,000 or higher per year depending on experience. The Provider Onboarding Associate will have full healthcare benefits and unlimited PTO!