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Provider Relations Representative Jobs in Georgia

HealthONE

Credentialing Representative

Dalton, GA · On-site

Credentialing Representative The Credentialing Representative is responsible for the credentialing ... Educates providers and the Provider Relations regarding criteria and credentialing policies and ...

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All JobsProvider Relations Representative JobsProvider Relations Representative Jobs in Georgia

Provider Relations Representative information

See Georgia salary details

$11

$23

$35

How much do provider relations representative jobs pay per hour?

As of Sep 3, 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:

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

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

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

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

What cities in Georgia are hiring for Provider Relations Representative jobs?

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

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

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

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.

HR EMPLOYEE RELATIONS REPRESENTATIVE II

Northside Hospital Inc.

Atlanta, GA • On-site

Full-time

Posted 14 days ago

Northside Hospital rating

7.3

Company rating: 7.3 out of 10

Based on 450 frontline employees who took The Breakroom Quiz

301st of 898 rated healthcare providers

Job description

Overview

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Responsibilities

Administers Human resources policies and procedures that pertain to employee relations. Researches and analyzes data, provides management with reports on any employee relations issues and possible resolutions. Performs employee counseling, equal employment opportunity, disability services, and labor relations. Investigates and documents employee complaints and disputes and recommend appropriate course of action. Educates new and current employees on employee relations policies.

Qualifications

REQUIRED

 

  • Bachelor Degree in Business Administration/related field and 4 years of direct Employee Relations experience.

    • OR

  • Bachelor Degree in Business Administration/related field and two (2) years of experience in a Supervisory or Management capacity in Employee Relations and/or Human Resources.

    • OR

  • Bachelor Degree in Business Administration/related field and SHRM certification and two (2) years of experience in Employee Relations and/or Human Resources experience.

    • PREFERRED

     

  • Basic knowledge of Microsoft Office, Excel, and software applications.
    • Work Hours:8:00- 4:30pmEmployment Type: FULL_TIME

    What Northside Hospital employees say

    Pay

    Benefits

    Hours and flexibility

    Workplace

    Get the full story on Breakroom

    Northside Hospital logo

    About Northside Hospital

    Sourced by ZipRecruiter

    * 288-bed hospital, offering a full range of services including comprehensive and interventional stroke care, preventative and corrective cardiac care, full-service orthopedic and spine treatment, an ER 24/7®, and general surgery * As one of the first hospitals in the area to achieve Atrial Fibrillation Certification (SCPC), our technologically advanced hospital allows our highly skilled physicians, nursing and caregivers to serve our growing community * Northside Hospital was the first nationally recognized Comprehensive Stroke Center in Pinellas County and nationally recognized for quality and safety by earning an 'A' rating from the Leapfrog Group

    Industry

    Hospitals

    Company size

    10,000+ Employees

    Headquarters location

    Atlanta, GA, US

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