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What is a provider relations representative and how to become one

Updated January 8, 2025
4 min read
Quoted expert
Sally Hiott B.S. MBA, DBA

A provider relations representative is responsible for building professional relationships with co-workers and physicians. This job requires one to visit with physicians on a regular basis and help them improve their business. This can range anywhere from sitting with them to discuss quarterly statistics to giving lectures to physicians in small groups.

The tasks that they perform in this capacity include, but are not limited to, assisting with the full range of provider relations and service interactions, including working on end-to-end provider claim and call quality, and training and developing external provider education programs. Moreover, they are also involved in identifying and remediating claims and building and nurturing positive relationships between different stakeholders. Qualifications generally include a bachelor's degree in health care, but a high school diploma or equivalent may suffice as well along with relevant work experience.

The average hourly salary for the position is $16.71, which equates to $34,765 annually. Applicants may be required to work flexible hours, but the compensation for this inconvenience is generous.

What general advice would you give to a provider relations representative?

Sally Hiott B.S. MBA, DBA

Assistant Professor of Marketing, Charleston Southern University

Show employers how you would not only fill an open position regarding the work at hand, but show them how you would be an asset to their team. We are in very team driven work environments currently, and hiring managers want to know what you can bring to the table. Filling a void is great for the workload, but enhancing a team culture makes them not want to work without you!
ScoreProvider Relations RepresentativeUS Average
Salary
3.2

Avg. Salary $40,957

Avg. Salary $59,228

Stability level
5.9

Growth rate -4%

Growth rate 0.3%

Diversity
9.3
Race

American Indian and Alaska Native 0.69%

Asian 6.51%

Black or African American 12.05%

Hispanic or Latino 21.80%

Unknown 5.25%

White 53.69%

Gender

female 75.82%

male 24.18%

Age - 39
Race

American Indian and Alaska Native 3.00%

Asian 7.00%

Black or African American 14.00%

Hispanic or Latino 19.00%

White 57.00%

Gender

female 47.00%

male 53.00%

Age - 39
Stress level
5.9

Stress level is manageable

7.1 - high

Complexity level
6.6

Complexity level is challenging

7 - challenging

Work life balance
6.5

Work life balance is good

6.4 - fair

Provider relations representative career paths

Key steps to become a provider relations representative

  1. Explore provider relations representative education requirements

    Most common provider relations representative degrees

    Bachelor's

    58.1 %

    Associate

    17.7 %

    Master's

    9.4 %
  2. Start to develop specific provider relations representative skills

    SkillsPercentages
    Customer Service15.54%
    Provider Relations8.75%
    Medicaid8.63%
    Patients6.25%
    Health Plan4.52%
  3. Complete relevant provider relations representative training and internships

    Accountants spend an average of 6-12 months on post-employment, on-the-job training. New provider relations representatives learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a provider relations representative based on U.S. Bureau of Labor Statistics data and data from real provider relations representative resumes.
  4. Research provider relations representative duties and responsibilities

    • Help manage ACO program and review measures with provider offices.
    • Advise clients on health care and manage care products including POS, PPO and medical management programs.
    • Provide keen oversight in developing and maintaining quality improvement programs while managing payroll.
    • Manage software maintenance renewal partner and assist with upselling additional and higher functionality licenses to increase revenue.
  5. Prepare your provider relations representative resume

    When your background is strong enough, you can start writing your provider relations representative resume.

    You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a provider relations representative resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

    Choose from 10+ customizable provider relations representative resume templates

    Build a professional provider relations representative resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your provider relations representative resume.
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    Provider Relations Representative Resume
    Provider Relations Representative Resume
    Provider Relations Representative Resume
    Provider Relations Representative Resume
    Provider Relations Representative Resume
    Provider Relations Representative Resume
    Provider Relations Representative Resume
    Provider Relations Representative Resume
  6. Apply for provider relations representative jobs

    Now it's time to start searching for a provider relations representative job. Consider the tips below for a successful job search:

    1. Browse job boards for relevant postings
    2. Consult your professional network
    3. Reach out to companies you're interested in working for directly
    4. Watch out for job scams

How did you land your first provider relations representative job

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Average provider relations representative salary

The average provider relations representative salary in the United States is $40,957 per year or $20 per hour. Provider relations representative salaries range between $30,000 and $55,000 per year.

Average provider relations representative salary
$40,957 Yearly
$19.69 hourly

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How do provider relations representatives rate their job?

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Provider relations representative reviews

profile
A zippia user wrote a review on Aug 2019
Pros

I like building relations with other companies, keeping customers satisfied and growing in all areas,


profile
A zippia user wrote a review on Jul 2019
Cons

Non caring employer's , standing on my feet all day, working weekends, low pay


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A zippia user wrote a review on Apr 2019
Pros

I enjoyed the satisfaction of assisting customers and solving problems


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Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

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