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Provider Relations Representative Jobs in Virginia

Sentara

$10K/mo

Sentara is hiring a Guest Relations Representative in Williamsburg, Virginia This is a Flexi ... Gives personal attention, takes personal responsibility and uses teamwork when providing guest ...

Sentara

Sentara is hiring a Guest Relations Representative in Williamsburg, Virginia This is a Flexi ... Gives personal attention, takes personal responsibility and uses teamwork when providing guest ...

Sentara

Sentara is hiring a Guest Relations Representative in Williamsburg, Virginia This is a Part-Time, ... Gives personal attention, takes personal responsibility and uses teamwork when providing guest ...

Sentara

$10K/mo

Sentara is hiring a Guest Relations Representative in Williamsburg, Virginia This is a Part-Time, ... Gives personal attention, takes personal responsibility and uses teamwork when providing guest ...

Gastro Health

Patient Relations Representative

Fairfax, VA · On-site

$15.75 - $20.50/hr

Gastro Health is seeking a Full-Time Patient Relations Representative to join our team! Gastro ... You'll find a collaborative team of coworkers and providers, as well as consistent hours. This role ...

Gastro Health

Patient Relations Representative

Fairfax, VA · On-site

$15.75 - $20.50/hr

Gastro Health is seeking a Full-Time Patient Relations Representative to join our team! Gastro ... You'll find a collaborative team of coworkers and providers, as well as consistent hours. This role ...

Gastro Health

Patient Relations Representative

Fairfax, VA · On-site

$15.75 - $20.50/hr

Gastro Health is seeking a Full-Time Patient Relations Representative to join our team! Gastro ... You'll find a collaborative team of coworkers and providers, as well as consistent hours. This role ...

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How much do provider relations representative jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for provider relations representative in Virginia is $27.65, according to ZipRecruiter salary data. Most workers in this role earn between $22.16 and $31.20 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 Virginia?

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

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

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

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

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

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

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

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

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

Provider Relations Representative jobs near you
Infographic showing various Provider Relations Representative job openings in Virginia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 68% In-person, and 32% Remote job distribution, with an average salary of $57,514 per year, or $27.7 per hour.

Provider Relations Specialist

Augusta Medical Center

Fishersville, VA • On-site

$57K - $88K/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 16 days ago

Job description

The Provider Relations Specialist is responsible for building and strengthening relationships with referring providers and healthcare organizations across the service area. This role promotes Augusta Health’s specialists, programs, and ancillary services while proactively identifying and addressing barriers to referral access, care coordination, and continuity of care.


Working in close partnership with internal clinical leaders and departmental stakeholders, the Provider Relations Specialist supports organizational growth, market expansion, and strategic business development initiatives. Serving as a key liaison between Augusta Health Medical Group (AMG), non-AMG providers, hospitals, and community partners, this position acts as an extension of Augusta Health within the community.


Approximately 70–80% of the role is field-based, engaging directly with providers and healthcare organizations to strengthen referral pathways, enhance provider engagement, and improve access to services. Through these efforts, the position directly contributes to increased market share, patient access, and service utilization.


The Provider Relations Specialist leverages non-HIPAA market intelligence, internal referral data, and industry trends to prioritize relationship development and identify opportunities for service growth. This role represents Augusta Health, its hospital, and its clinics by fostering collaborative, trust-based relationships throughout the healthcare community.

Education, Experience, Skills and Abilities:

  • Bachelor’s degree in healthcare administration, business, marketing, sales, or a related healthcare field required
  • 3–5 years of experience in provider relations, healthcare, business development, physician liaison, or a related role required
  • Strong knowledge of healthcare delivery systems, referral processes, and provider practice operations
  • Excellent interpersonal, communication, and relationship-building skills
  • Proficiency in various computer applications including Microsoft Office
  • Ability to analyze problems and develop alternate solutions
  • Ability to work independently, manage multiple priorities, and travel within the service area

Essential Job Duties:

  • Build and maintain strong, trusted relationships with referring providers, service line leaders and community stakeholders in assigned markets
  • Collaborate closely with providers, service line leaders, marketing, and operations teams to align outreach activities with organizational priorities and referral workflows and access strategies
  • Conduct regular outreach, practice visits, and relationship-building activities to support referral growth and retention
  • Serve as a primary point of contact for provider inquiries related to referrals, access, services, and clinical programs
  • Identify, troubleshoot, and help resolve challenges related to referrals, scheduling, access, and care coordination in partnership with internal teams
  • Support strategic growth initiatives by identifying referral opportunities, service gaps, competitive insights and market trends
  • Track provider interactions, referral patterns, and outreach activities
  • Analyze referral data, provider feedback and market intelligence to identify opportunities for improvement and growth
  • Prepare reports and insights to inform leadership and guide strategy
  • Represent the organization professionally in all interactions

Some benefits of working at Augusta Health include: 

  • Generous paid time off to promote work life balance
  • Competitive Pay
  • Retirement Plan
  • Medical, Dental, and Vision Benefits
  • Free onsite parking
  • Tuition reimbursement
  • Onsite childcare

 Company Information:

 Augusta Health is a mission-driven, independent, nonprofit, community health system located in Fishersville Virginia in Virginia’s scenic Shenandoah Valley. Augusta Health offers a full continuum of inpatient and outpatient services which includes Augusta Medical Center a 255 bed inpatient facility and Augusta Medical Group which is comprised of 40 practice locations and four urgent care locations.

 Equal Opportunity:

 Augusta Health recruits, hires and promotes qualified candidates for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran or military discharge status, and family medical or genetic information.

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