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Provider Services Representative Jobs (NOW HIRING)

w3r Consulting

Provider Services Representative

El Paso, TX · On-site

$32K - $43K/yr

Maintain accuracy of provider information in core internal and member facing systems. Requires frequent contact with our provider partners to confirm the accuracy of information provided with 95% or ...

w3r Consulting

Provider Services Representative

Chicago, IL · On-site

$41K - $56K/yr

Maintain accuracy of provider information in core internal and member facing systems. Requires frequent contact with our provider partners to confirm the accuracy of information provided with 95% or ...

VIVA USA INC

Provider Services Representative

Chicago, IL · On-site +1

$41K - $56K/yr

Maintain accuracy of provider information in core internal and member facing systems. Requires frequent contact with our provider partners to confirm the accuracy of information provided with 95% or ...

MJHS

Provider Services Representative

Manhattan, NY

$40K - $43K/yr

Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high ...

Kore1

Provide Services Representative

Rancho Cucamonga, CA

$16.25 - $22.25/hr

KORE1, a nationwide provider of creative and information technology recruiting, has an immediate opening for a Contract Medical Provider Services Representative for a large healthcare organization in ...

RadNet

Provider Service Rep

Union, NJ

$60K - $75K/yr

When you join RadNet as a Provider Service Representative , you will be joining a dedicated team of ... Be responsible for identifying, prospecting and marketing contract imaging services to local IPA ...

SuVeto

Client Services Representative

Berthoud, CO · On-site

$17 - $19/hr

... Services Representative to join our Team! At Berthoud Animal Hospital, we provide quality and ... Our veterinarians provide services for dogs and cats including wellness care, internal medicine ...

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Provider Services Representative information

See salary details

$29.5K

$48.3K

$78.5K

How much do provider services representative jobs pay per year?

As of Jul 27, 2026, the average yearly pay for provider services representative in the United States is $48,284.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,000.00 and $57,000.00 per year, depending on experience, location, and employer.

What are Provider Services Representatives?

Provider Services Representatives are professionals who serve as the main point of contact between healthcare providers (such as doctors, hospitals, and clinics) and health insurance companies. They help resolve provider inquiries related to claims, benefits, eligibility, authorizations, and network participation. Their role ensures smooth communication and understanding between providers and insurers, ultimately helping patients receive the care they need. Provider Services Representatives may also assist with provider education and support efforts to improve provider satisfaction.

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

AspectProvider Services RepresentativeCustomer Service Representative
CredentialsHigh school diploma or equivalent; healthcare knowledge often preferredHigh school diploma or equivalent; general customer service skills
Work EnvironmentHealthcare offices, insurance companies, provider networksRetail, call centers, various industries
Employer & IndustryHealthcare, insurance providersVarious sectors including retail, telecom, finance
Common Search IntentUnderstanding healthcare provider support rolesGeneral customer support roles

The Provider Services Representative primarily works within healthcare and insurance settings, focusing on supporting healthcare providers and managing provider-related inquiries. In contrast, a Customer Service Representative handles a broader range of customer inquiries across multiple industries. While both roles require strong communication skills, Provider Services Representatives often need healthcare knowledge and familiarity with insurance processes, making their role more specialized within the healthcare industry.

What are some of the most common challenges faced by Provider Services Representatives, and how can they be managed effectively?

Provider Services Representatives often encounter challenges such as resolving complex provider inquiries, navigating frequent updates to healthcare policies, and balancing a high volume of calls or cases. Successful representatives manage these challenges by staying up-to-date with policy changes through regular training, leveraging internal resources for quick issue resolution, and developing strong communication skills to clearly explain procedures to providers. Building collaborative relationships with other departments, such as claims or credentialing teams, also helps streamline the resolution process and enhances overall service quality.

What are the key skills and qualifications needed to thrive as a Provider Services Representative, and why are they important?

To thrive as a Provider Services Representative, you need strong knowledge of healthcare policies, insurance processes, and customer service, often supported by a relevant associate degree or healthcare administration experience. Familiarity with claims processing systems, medical billing software, and CRM platforms is typically required. Excellent communication, problem-solving, and organizational skills help you manage provider inquiries and resolve issues efficiently. These skills ensure accurate information exchange, provider satisfaction, and smooth operations within healthcare organizations.
More about Provider Services Representative jobs
What cities are hiring for Provider Services Representative jobs? Cities with the most Provider Services Representative job openings:
Who are the top companies hiring for Provider Services Representative jobs? The top employers for Provider Services Representative jobs are:
What states have the most Provider Services Representative jobs? States with the most job openings for Provider Services Representative jobs include:
What job categories do people searching Provider Services Representative jobs look for? The top searched job categories for Provider Services Representative jobs are:
Provider Services Representative jobs near you
Infographic showing various Provider Services Representative job openings in the United States as of July 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% In-person job distribution, with an average salary of $48,284 per year, or $23.2 per hour.
Provider Services Representative

Provider Services Representative

w3r Consulting

El Paso, TX • On-site

$32K - $43K/yr

Contractor

Posted 22 days ago

Job description

Description:
  • Maintain accuracy of provider information in core internal and member facing systems. Requires frequent contact with our provider partners to confirm the accuracy of information provided with 95% or greater accuracy. Requires the data entry of updates to internal provider systems with a 95% or greater accuracy rate.

The Job Requirements are as follows:
  • Ability to focus on completing all assignments on time and with the expected level of quality (quality rating of 95% or higher) in a high-volume production environment
  • Ability to quickly learn moderately complex business rules
  • Ability to quickly learn moderately complex computer systems that support the business area and processes
  • Ability to assimilate quickly into a team setting and display a high level of teamwork
  • Ability to establish strong business relationships
  • Expert written and verbal communication skills
  • Professional in appearance and demeanor
  • High attention to detail
  • Fully proficient in use of office automation software including MS-Office-Office experience either through internships or work after graduation
  • HS Diploma/GED

Preferred Qualification(s):
  • Health Insurance Experience

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