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$11

$23

$35

How much do provider relations representative jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for provider relations representative in Georgia is $23.55, according to ZipRecruiter salary data. Most workers in this role earn between $18.89 and $26.59 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 the most commonly searched types of Provider Relations Representative jobs in Georgia?

The most popular types of Provider Relations Representative jobs in Georgia are:

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

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

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Cities in Georgia with the most Provider Relations Representative job openings:

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Provider Relations Representative jobs near you
Infographic showing various Provider Relations Representative job openings in Georgia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 59% In-person, and 41% Remote job distribution, with an average salary of $48,984 per year, or $23.6 per hour.

Provider Relations Field Representative - Southeast Metro Georgia

Gainwell Technologies LLC

Tucker, GA • Hybrid

$45K - $64K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 82 frontline employees who took The Breakroom Quiz

138th of 247 rated software companies

Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Summary

​As a Provider Relations Representative - Tucker, GA (Hybrid) at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission
  • Assists the business process outsourcing development teams in gathering and summarizing data to assist in client evaluation. 
  • Provides analysis and documentation of client requirements to provide appropriate data to outsourcing project development and implementation teams for client(s).
  • Prepares work plans, documents project scope and reviews with client to ensure accuracy. Monitors project schedules to ensure timelines and deliverables are met.
  • Monitors processes and resolves participant issues; escalates as appropriate.
  • Strong written and verbal communication skills
What we're looking for
  • Bachelor’s degree or a minimum of five (5) years of equivalent experience in a related field such as healthcare, provider relations, or claims management
  • Proficiency in Microsoft Office Suite, including Excel, Word, and PowerPoint
  • Effective in presenting and facilitating training or informational sessions
  • Excellent organizational and time management abilities to manage field visits, reporting, and provider support
  • As part of the interview process, candidates will be asked to prepare and deliver a short presentation on a topic of their choice to demonstrate communication and presentation skills.
What you should expect in this role
  • This is a hybrid position for Tucker, GA, and travel is required for the Southeast Metro territory. This includes the counties of Clayton, DeKalb, and Rockdale.
  • Work schedule is Monday to Friday, from 8:00 AM - 4:30 PM. 
  • Assessment Requirement: Candidates will be required to complete a skills and competency assessment before advancing to the next stage of the selection process. 
  • Video cameras must be used during all interviews, as well as during the initial week of orientation.
  • To work effectively as a teleworker or hybrid positions with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance.
  • To Test your internet download and upload speed
    • Go to Google.
    • Search for Internet Speed Test or click here.

Employee Benefits & Perks:

  • Health benefits (medical, dental, and vision) begin on Day 1 of employment.
  • 401(k) with company match and additional benefits become available within the first few months.
  • Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before the employee's start date at Gainwell.
  • Career growth and advancement opportunities are encouraged and supported.
  • A company-provided computer is supplied for work use.

    The deadline to submit applications for this posting is September 14, 2026. 

    #LI-HYBRID  #LI-PP1  #LI-CM1

The pay range for this position is $45,000.00 - $64,300.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

What Gainwell Technologies employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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