ZipRecruiter

Log In

1

Provider Relations Representative Jobs in Connecticut

PLATINUM POINT EXECUTIVES INC

Be Seen First

Customer Relations and Sales Associate

New Britain, CT · On-site

$1.2K - $1.8K/wk

We are seeking a Sales And Customer Relations Rep to join our team here at Platinum Point Executives! You will be responsible for helping customers by providing product and service information and ...

PLATINUM POINT EXECUTIVES INC

Be Seen First

Customer Relations and Sales Associate

Rocky Hill, CT · On-site

$1.2K - $1.5K/wk

We are seeking a Sales And Customer Relations Rep to join our team here at Platinum Point Executives! You will be responsible for helping customers by providing product and service information and ...

PLATINUM POINT EXECUTIVES INC

Be Seen First

Customer Relations and Sales Associate

Rocky Hill, CT · On-site

$1.2K - $1.5K/wk

We are seeking a Sales And Customer Relations Rep to join our team here at Platinum Point Executives! You will be responsible for helping customers by providing product and service information and ...

PLATINUM POINT EXECUTIVES INC

Be Seen First

Customer Relations and Sales Associate

New Britain, CT · On-site

$1.2K - $1.8K/wk

We are seeking a Sales And Customer Relations Rep to join our team here at Platinum Point Executives! You will be responsible for helping customers by providing product and service information and ...

next page

Showing results 1-20

All JobsProvider Relations Representative JobsProvider Relations Representative Jobs in Connecticut

Provider Relations Representative information

See Connecticut salary details

$13

$26

$39

How much do provider relations representative jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for provider relations representative in Connecticut is $26.53, according to ZipRecruiter salary data. Most workers in this role earn between $21.25 and $29.95 per hour, depending on experience, location, and employer.

What is a provider relations representative?

Provider Relations Representatives are professionals who serve as the main point of contact between healthcare providers, such as doctors or clinics, and health insurance companies or managed care organizations. They handle inquiries, resolve issues, and ensure that providers understand and comply with policies, procedures, and contractual obligations. Their role is crucial in maintaining positive relationships, addressing concerns, and facilitating smooth communication to improve patient care and provider satisfaction.

What does a provider relations representative do?

A provider relations representative works for a health care agency and is the primary liaison between their company and health care providers, such as medical doctors and dentists. As a provider relations representative, your specific job duties vary, depending on your employer. But your responsibilities may include answering questions from doctor’s offices about benefit verification, entering claims data for processing, and maintaining a good relationship with providers. To become a provider relations representative, you need a high school diploma or equivalent, though many employers prefer candidates with an associate or bachelor’s degree in a health care related field and industry experience.

What are the key skills and qualifications needed to thrive as a provider relations representative, and why are they important?

To thrive as a Provider Relations Representative, you need a solid understanding of healthcare policies, contract negotiation, and customer service, often supported by a bachelor’s degree in healthcare administration or a related field. Familiarity with claims processing systems, CRM software, and provider databases is typically required. Strong interpersonal, problem-solving, and conflict resolution skills help you build effective relationships with healthcare providers. These skills and qualities are essential for ensuring provider satisfaction, resolving issues efficiently, and maintaining strong network partnerships.

What are some common challenges provider relations representatives face when working with healthcare providers, and how can they be addressed?

Provider Relations Representatives often encounter challenges such as resolving complex contract issues, addressing provider concerns about claims processing, and navigating changing healthcare regulations. Building strong communication skills and maintaining up-to-date knowledge of company policies can help address these challenges effectively. Proactively engaging with providers, listening to their feedback, and collaborating with internal departments are key strategies for fostering positive relationships and ensuring provider satisfaction.

What is the difference between Provider Relations Representative vs Customer Service Representative?

AspectProvider Relations RepresentativeCustomer Service Representative
CredentialsHigh school diploma or equivalent; healthcare knowledgeHigh school diploma or equivalent; customer service skills
Work EnvironmentHealthcare offices, insurance companiesCall centers, retail, service industries
Employer & IndustryHealth insurance, healthcare providersVarious industries including retail, telecom
Search & Comparison IntentUnderstanding roles in healthcare insuranceCustomer support roles across industries

The Provider Relations Representative focuses on managing relationships with healthcare providers and ensuring compliance with insurance policies, often working within healthcare or insurance companies. In contrast, a Customer Service Representative handles general customer inquiries, support, and issue resolution across various industries. While both roles require strong communication skills, the Provider Relations Representative specializes in healthcare provider interactions, making it a more industry-specific position.

More about Provider Relations Representative jobs

What are popular job titles related to Provider Relations Representative jobs in Connecticut?

For Provider Relations Representative jobs in Connecticut, the most frequently searched job titles are:

What job categories do people searching Provider Relations Representative jobs in Connecticut look for?

The top searched job categories for Provider Relations Representative jobs in Connecticut are:

What are popular job titles related to Provider Relations Representative jobs in CT?

For Provider Relations Representative jobs in CT, the most frequently searched job titles are:

Provider Relations Representative jobs near you
Infographic showing various Provider Relations Representative job openings in Connecticut as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $55,185 per year, or $26.5 per hour.

Provider Network & Wraparound Funding Specialist

Advanced Behavioral Health, Inc

Middletown, CT • On-site

Full-time

Re-posted 2 days ago

Job description

This is one position split between 2 departments:
The Provider Network Specialist provides support to complete activities associated with credentialing of providers under several contracts and collection of quality of service information for service provider network.
The Wraparound Funding Specialist is responsible for processing and monitoring fund requests, under the Department of Children and Families (DCF) Wraparound funding contracts as well as the Judicial Branch's Wrap funding contract.
DUTIES AND RESPONSIBILITIES:
• application processing ensuring that the paperwork is complete, accurate and in compliance with standards
• maintain files, provide technical assistance to providers;
• orientation and education of providers to credentialing policies and procedures, collection of quality of service information, and provider relations.
• performs other related projects and duties as assigned in support of department goals and objectives including, but not limited to site visits
  • Process and monitor fund requests, ensuring that the Request for Funds documentation is complete, accurate and in compliance with DCF and CSSD standards and ABH process guidelines;
  • Maintain an updated list of authorized signatories by fund including all relevant contact information;
  • Provide technical assistance to requestors and service vendors incorporating relevant policies and procedures;
  • Act as liaison between DCF and service vendors for issues related to fiduciary services requests;
  • Identify necessary changes and initiates/assists in the development/revision to functioning systems within the appropriate internal and external departments;
  • Maintains confidentiality of all client protected health information and adheres to all HIPAA related policies and procedures;
  • Performs other tasks/responsibilities as required to support the business operations;
  • Demonstrates ethical behavior and cultural sensitivity in all activities involving individuals of diverse backgrounds.

Requirements
EDUCATION AND EXPERIENCE REQUIREMENTS:
  • Associate's degree in business administration, human services or related field or a combination of related education and work experience;
  • Experience in provider relations and accounts payable function is preferred;
  • Experience with public sector work and/or State agencies
  • Attend annual Conflict of Interest training.

KNOWLEDGE/SKILLS/ABILITIES:
  • Demonstrated ability to articulate goals, identify problems, assess implications, provide resolution, meet deadlines and manage shifting demands in a professional manner;
  • Ability to work independently as well as in a team environment, have superior organizational skills and demonstrated experience in communicating at all levels;
  • Strong attention to detail; ability to work on multiple tasks;
  • Excellent PC skills with demonstrated experience using Microsoft Office Package (MS Word, Excel, Power Point, Access, Outlook); internet;

§ This position will represent ABH and its services in a positive and professional manner and adhere to ABH's best practices, guidelines, policies and procedures as established, promoting ABH as a leader in behavioral healthcare in all interactions and work.

Apply