How to hire a provider relations representative

How to hire a provider relations representative, step by step

Here's a step-by-step provider relations representative hiring guide:

• Step 1: Identify your hiring needs
• Step 2: Create an ideal candidate profile
• Step 3: Make a budget
• Step 4: Write a provider relations representative job description
• Step 5: Post your job
• Step 6: Interview candidates
• Step 7: Send a job offer and onboard your new provider relations representative
• Step 8: Go through the hiring process checklist

What does a provider relations representative do?

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1. Identify your hiring needs

   Before you start hiring a provider relations representative, identify what type of worker you actually need. Certain positions might call for a full-time employee, while others can be done by a part-time worker or contractor.

   Determine employee vs contractor status

   Is the person you're thinking of hiring a US citizen or green card holder?

   Yes

   No

   A provider relations representative's background is also an important factor in determining whether they'll be a good fit for the position. For example, provider relations representatives from different industries or fields will have radically different experiences and will bring different viewpoints to the role. You also need to consider the candidate's previous level of experience to make sure they'll be comfortable with the job's level of seniority.

   This list shows salaries for various types of provider relations representatives.

   Type of Provider Relations Representative	Description	Hourly rate
   Provider Relations Representative	Customer service representatives interact with customers to handle complaints, process orders, and provide information about an organization’s products and services.	$14-26
   Technical Service Representative	A Technical Service Representative is responsible for providing customer service with customers' technical and network issues. They perform troubleshooting procedures through remote communication to fix end-users' problems on their hardware and software systems.They diagnose the system failures according to the customers' descriptions and identify technical solutions to avoid the reoccurrence of the same problem... Show more	$13-37
   Representative	Representatives are lawmakers who represent the people in a specific district. They run for office to represent their districts in their hometown or their current place of living... Show more	$11-26

   Show more

2. Create an ideal candidate profile

   Common skills:

   • Customer Service
   • Provider Relations
   • Medicaid
   • Patients
   • Health Plan
   • PowerPoint
   • Issue Resolution
   • Network Development
   • Provider Issues
   • Data Entry
   • CPT
   • Fee Schedules
   • Claims Processing
   • Appeals

   Check all skills

   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.
   • Review the provider contracts, paid members claims, base on the CPT code & ICD-9 that are submitted.
   • Review provider claims for CPT and ICD-9 coding accuracy and generate payment of claims base upon current fee schedule.

   More provider relations representative duties

3. Make a budget

   Including a salary range in the provider relations representative job description is a good way to get more applicants. A provider relations representative salary can be affected by several factors, such as the location of the job, the level of experience, education, certifications, and the employer's prestige.

   For example, the average salary for a provider relations representative in New Mexico may be lower than in Montana, and an entry-level engineer typically earns less than a senior-level provider relations representative. Additionally, a provider relations representative with lots of experience in the field may command a higher salary as a result.

   Average provider relations representative salary

   $40,957yearly

   $19.69 hourly rate

   ---

   Entry-level provider relations representative salary

   $30,000 yearly salary

   Updated January 20, 2026

   Average provider relations representative salary by state

   Rank	State	Avg. salary	Hourly rate
   1	Montana	$51,202	$25
   2	Washington	$50,755	$24
   3	District of Columbia	$50,376	$24
   4	Massachusetts	$50,109	$24
   5	New York	$50,077	$24
   6	Maryland	$48,163	$23
   7	California	$46,695	$22
   8	Pennsylvania	$45,801	$22
   9	Oregon	$45,041	$22
   10	Wisconsin	$44,995	$22
   11	Illinois	$44,240	$21
   12	North Dakota	$43,912	$21
   13	Ohio	$43,652	$21
   14	Texas	$43,524	$21
   15	South Dakota	$42,925	$21
   16	Indiana	$41,906	$20
   17	Arizona	$41,282	$20
   18	Virginia	$38,910	$19
   19	Nevada	$38,501	$19
   20	Louisiana	$33,328	$16

   Average provider relations representative salary by company

   Company

   Rank	Company	Average salary	Hourly rate	Job openings
   1	Parkland Hospital	$56,299	$27.07
   2	Northrop Grumman	$52,952	$25.46	14
   3	Dignity Health	$52,367	$25.18	9
   4	Tarzana Treatment Centers	$48,970	$23.54
   5	Providence Health & Services	$46,886	$22.54	4
   6	Catholic Health Care System	$45,228	$21.74
   7	Ardent Health Services	$43,359	$20.85	9
   8	University Health System Inc	$42,954	$20.65	5
   9	Target	$42,655	$20.51	12
   10	MetroPlus	$42,249	$20.31	5
   11	Amedisys	$42,029	$20.21	6
   12	HCSC	$41,920	$20.15	29
   13	MVP Health Care	$41,565	$19.98	4
   14	Kforce	$41,325	$19.87	7
   15	Sentara Healthcare	$41,320	$19.87	182
   16	Fallon Health	$41,218	$19.82	3
   17	Wellspring Family Services	$40,986	$19.70
   18	CalOptima	$40,890	$19.66
   19	Moda Health	$40,549	$19.49	12
   20	Alameda Alliance for Health	$40,362	$19.40	2

4. Writing a provider relations representative job description

   A job description for a provider relations representative role includes a summary of the job's main responsibilities, required skills, and preferred background experience. Including a salary range can also go a long way in attracting more candidates to apply, and showing the first name of the hiring manager can also make applicants more comfortable. As an example, here's a provider relations representative job description:

   Provider relations representative job description example

   Job Title: Provider Relations Site Visit Coordinator
   Duration: 06 Months Contract
   Location: Dallas-Fort Worth Metropolitan Area, TX, Houston, TX, McAllen, TX

   Job Summary:
   The Provider Relations Site Visit Coordinator will serve as a physical site coordinator and will be required to communicate with healthcare providers through verbal and written communications.
   The Site Visit Coordinator will be responsible to conduct pre- enrollment, post enrollment and address change site visits at healthcare providers physical office locations.
   The position requires high level literacy, communication, critical thinking skills, reliable transportation with frequent travel within territory, excellent time management skills, solid judgment, and a strong work ethic.

   Key Responsibilities are as follows:
   Conduct face to face scheduled and unscheduled visits within the provider community.
   Maintain a working knowledge of Medicaid program and policy, online provider resources, internal processes and technological applications.
   Independent management of local territory by utilizing various reporting methods.
   Meet all contractual obligations while establishing and maintaining positive interpersonal relations.
   Develop interpersonal relationships with peers and workgroups while working remotely.
   Participate in team training and workgroups in addition to individual territory responsibilities.

   Job Qualifications:
   Minimum of 1 year of experience working directly with healthcare providers.
   High School diploma or equivalent.
   Ability to self -monitor.
   Proficiency in Microsoft Office suite.
   Working knowledge of Medicaid, Medicaid manage care, and or commercial health plan managed care.

   Special Job Requirements: In-home Remote worker. Minimum of 75% travel. Must reside in the assigned territory including the following Counties.

   Schedule: Monday thru Friday; 08:00 AM to 05:00 PM CST.

   Company DescriptionCollabera is a Global Digital Solutions Company providing Software Engineering Solutions for the world's most tech-forward organizations in the areas of Engineering, Cloud and Data/AI. With its roots serving the engineering needs of the world's most recognized businesses in Technology, Financial Services, Telecom and Healthcare, Collabera today operates across 60 locations in 11 countries, serves 30% of the Fortune 500, and has exceeded the industry growth rate by 3-4x for several years.

   Copy this example

   

5. Post your job

   There are a few common ways to find provider relations representatives for your business:

   • Promoting internally or recruiting from your existing workforce.
   • Ask for referrals from friends, family members, and current employees.
   • Attend job fairs at local colleges to meet candidates with the right educational background.
   • Use social media platforms like LinkedIn, Facebook, and Twitter to recruit passive job-seekers.

   Post your job online:

   • Post your provider relations representative job on Zippia to find and recruit provider relations representative candidates who meet your exact specifications.
   • Use field-specific websites.
   • Post a job on free websites.

6. Interview candidates

   To successfully recruit provider relations representatives, your first interview needs to engage with candidates to learn about their interest in the role and experience in the field. You can go into more detail about the company, the role, and the responsibilities during follow-up interviews.

   Remember to include a few questions that allow candidates to expand on their strengths in their own words. Asking about their unique skills might reveal things you'd miss otherwise. At this point, good candidates can move on to the technical interview.

   The right interview questions can help you assess a candidate's hard skills, behavioral intelligence, and soft skills.

7. Send a job offer and onboard your new provider relations representative

   Once you have selected a candidate for the provider relations representative position, it is time to create an offer letter. In addition to salary, the offer letter should include details about benefits and perks that are available to the employee. Ensuring your offer is competitive is vital, as qualified candidates may be considering other job opportunities. The candidate may wish to negotiate the terms of the offer, and it is important to be open to discussion and reach a mutually beneficial agreement. After the offer has been accepted, it is a good idea to formalize the agreement with a contract.

   You should also follow up with applicants who don't get the job with an email letting them know that you've filled the position.

   To prepare for the new provider relations representative first day, you should share an onboarding schedule with them that covers their first period on the job. You should also quickly complete any necessary paperwork, such as employee action forms and onboarding documents like I-9, benefits enrollment, and federal and state tax forms. Finally, Human Resources must ensure a new employee file is created for internal record keeping.

8. Go through the hiring process checklist

   • Determine employee type (full-time, part-time, contractor, etc.)
   • Submit a job requisition form to the HR department
   • Define job responsibilities and requirements
   • Establish budget and timeline
   • Determine hiring decision makers for the role
   • Write job description
   • Post job on job boards, company website, etc.
   • Promote the job internally
   • Process applications through applicant tracking system
   • Review resumes and cover letters
   • Shortlist candidates for screening
   • Hold phone/virtual interview screening with first round of candidates
   • Conduct in-person interviews with top candidates from first round
   • Score candidates based on weighted criteria (e.g., experience, education, background, cultural fit, skill set, etc.)
   • Conduct background checks on top candidates
   • Check references of top candidates
   • Consult with HR and hiring decision makers on job offer specifics
   • Extend offer to top candidate(s)
   • Receive formal job offer acceptance and signed employment contract
   • Inform other candidates that the position has been filled
   • Set and communicate onboarding schedule to new hire(s)
   • Complete new hire paperwork (i9, benefits enrollment, tax forms, etc.)

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How much does it cost to hire a provider relations representative?