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Provider Relations Representative Jobs in Austin, TX

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Sales & Client Relations Representative (Remote)

Austin, TX · Remote

$1.0K - $80K/yr

Sales $ Client Relations Representative We're seeking motivated individuals to join our growing ... Comprehensive training and mentorship are provided, making this an excellent opportunity for both ...

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Provider Relations Representative information

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How much do provider relations representative jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for provider relations representative in Austin, TX is $27.64, 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.

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Provider Relations Representative jobs near you
Infographic showing various Provider Relations Representative job openings in Austin, TX as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 71% Physical, 1% Hybrid, and 28% Remote job distribution, with an average salary of $57,501 per year, or $27.6 per hour.

Provider Relations Representative

Key Family of Companies

Austin, TX • Remote

Full-time

Re-posted 18 days ago

Job description

Key Benefit Administrators is currently seeking a Provider Relations Representative to join the team. We are excited to speak to qualified candidates about opportunity. This position includes a comprehensive benefit package and competitive salary!About Key Benefit AdministratorsWe are on a mission to improve health and stabilize insurance costs for local communities. KBA was founded in 1979 as a privately owned full-service group benefit administration firm specializing in self-funded medical plans and is now one of the country's largest independently owned third party administrators. We pride ourselves on having supportive leadership, a family atmosphere, and a high performing culture - ask our employees - they have agreed that we are a Top Workplace since 2013.Check us out here:Website | Glassdoor | Top WorkplacePosition Summary:The Provider Relations Representative will be responsible for the strategic direction, while maintaining successful oversight of all network relationships, network development, coordination, compliance, and contract functions of network management for the Key Family. Essential Duties and Responsibilities:Relationship oversight of all current and potential networks.Serves as a liaison between network relationships and network partners, Sales, Direct to Employer team and other operational teams within Key Family. Provide superior, professional, ongoing, consistent communication and service with designated networks and clients, to maintain a positive, long-term relationship. Maintain market intelligence on competitive landscape.Detailed review, negotiation, editing and sign-off, in coordination with legal and VP, of all new and renewing network contracts.Establishment and coordination of directly contracted hospital and/or provider systems within designated communities, creating formal direct to employer opportunities and/or informal partnerships. Oversee elevated network issues to resolution escalating to VP as necessary. Be available for occasional network/client related travel as needed.Perform additional related duties as assigned. Does this sound like you?3+ years of network related experience in a healthcare or Third-Party Administrator (TPA) setting preferred.Proven abilities in written and verbal communication, as well as presentation skills.Highly proficient in Microsoft Office products, such as Microsoft Excel and Microsoft Word.Ability to multi-task and work under deadlines.Strong organizational, problem solving and analytical skills.Highly experienced in relationship management with networks, clients and/or brokers.Ability to work proficiently, independently, and timely in a fast-paced environment and be adaptable in a dynamic work environment.People and team oriented.Knowledge of conducting remote meetings using Zoom is a plus.Detailed understanding of operational areas of health insurance is a plus. If you are unable to complete an application for the Provider Relations Representative position due to a disability, contact Human Resources by calling 800-560-3539 to ask for an accommodation or an alternative application process.All qualified applicants for the Provider Relations Representative position will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender.DDNP002
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