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Become A Provider Relations Specialist

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Working As A Provider Relations Specialist

  • Getting Information
  • Interacting With Computers
  • Communicating with Persons Outside Organization
  • Communicating with Supervisors, Peers, or Subordinates
  • Establishing and Maintaining Interpersonal Relationships
  • Deal with People

  • Mostly Sitting

  • Repetitive

  • $79,000

    Average Salary

What Does A Provider Relations Specialist Do

Customer service representatives interact with customers to handle complaints, process orders, and provide information about an organization’s products and services.

Duties

Customer service representatives typically do the following:

  • Listen to customers’ questions and concerns, and provide answers or responses
  • Provide information about products and services
  • Take orders, calculate charges, and process billing or payments
  • Review or make changes to customer accounts
  • Handle returns or complaints
  • Record details of customer contacts and actions taken
  • Refer customers to supervisors or more experienced employees

Customer service representatives answer questions or requests from customers or the public. They typically provide services by phone, but some also interact with customers face to face, by email, or live chat.

The specific duties of customer service representatives vary by industry. For example, representatives who work in banks may answer customers’ questions about their accounts. Representatives who work for utility and communication companies may help customers with service problems, such as outages. Those who work in retail stores often handle returns, process refunds, and help customers locate items. Some representatives make changes to customers’ accounts, such as updating addresses or canceling orders. Although selling is not their main job, some representatives may help generate sales while providing information about a product or service.

Customer service representatives typically use a telephone, computer, and other office equipment. For example, representatives who work in call centers answer phone calls and use computers to review and select standard responses from a list of options. Those employed in retail stores use registers to process returns or orders.

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How To Become A Provider Relations Specialist

Customer service representatives typically need a high school diploma and receive on-the-job training to learn the specific skills needed for the job. They should be good at communicating and interacting with people and have some experience using computers.

Education

Customer service representatives typically need a high school diploma.

Training

Customer service representatives usually receive short-term on-the-job training, lasting 2 to 3 weeks. Those who work in finance and insurance may need several months of training to learn more complicated financial regulations.

General customer-service training may focus on procedures for answering questions, information about a company’s products and services, and computer and telephone use. Trainees often work under the guidance of an experienced worker for the first few weeks of employment.

In certain industries, such as finance and insurance, customer service representatives must remain current with changing regulations.

Licenses, Certifications, and Registrations

Customer service representatives who provide information about finance and insurance may need a state license. Although licensing requirements vary by state, they usually include passing a written exam. Some employers and organizations may provide training for these exams.

Important Qualities

Communication skills. Customer service representatives must be able to provide information in writing, by phone, or in person so that customers can understand them.

Customer-service skills. Representatives help companies retain customers by answering their questions and complaints in a helpful and professional manner.

Interpersonal skills. Representatives should be able to create positive interactions with customers.

Listening skills. Representatives must listen carefully and understand a customer’s situation in order to assist them.

Patience. Representatives should be patient and polite, especially when interacting with dissatisfied customers.

Problem-solving skills. Representatives must determine solutions to a customer’s problem. By resolving issues effectively, representatives contribute to customer loyalty and retention.

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Provider Relations Specialist Career Paths

Provider Relations Specialist
Manager, Provider Relations Director, Network Operations Vice President
Co-Owner
6 Yearsyrs
Manager, Provider Relations Manager
Office Manager
5 Yearsyrs
Manager, Provider Relations Manager Store Manager
Operations Manager
7 Yearsyrs
Office Manager Account Manager
Senior Account Manager
7 Yearsyrs
Office Manager Operations Manager General Manager
Account Manager
5 Yearsyrs
Office Manager General Manager Account Manager
Sales Account Manager
6 Yearsyrs
Contracts Specialist Contracts Manager Project Manager
Business Manager
6 Yearsyrs
Contracts Specialist Contracts Administrator Consultant
Information Technology Manager
7 Yearsyrs
Contracts Specialist Project Manager Owner/Manager
Service Manager
6 Yearsyrs
Account Manager Operations Manager
Site Manager
7 Yearsyrs
Team Leader Supervisor Assistant Manager
Center Manager
6 Yearsyrs
Team Leader Manager Operations Manager
Client Services Manager
7 Yearsyrs
Team Leader Customer Service Manager
Administrative Manager
6 Yearsyrs
Business Analyst Consultant Case Manager
Customer Care Manager
7 Yearsyrs
Business Analyst Consultant Accounting Manager
Business Office Manager
7 Yearsyrs
Business Analyst Lead Technician Maintenance Supervisor
Service Supervisor
5 Yearsyrs
Network Consultant Network Administrator Administrator
Senior Administrative Assistant
7 Yearsyrs
Network Consultant Infrastructure Analyst Senior Support Specialist
Senior Representative
5 Yearsyrs
Provider Enrollment Specialist Senior Customer Service Representative Call Center Supervisor
Customer Care Supervisor
5 Yearsyrs
Provider Enrollment Specialist Senior Customer Service Representative Director, Customer Support Services
Manager, Custom Support And Services
7 Yearsyrs
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Top Skills for A Provider Relations Specialist

  1. Providers
  2. Customer Service
  3. Health Care
You can check out examples of real life uses of top skills on resumes here:
  • Managed providers by utilizing strong communication skills, maintaining provider documentation files and perform financial analysis related to providers contracts.
  • Adhered to department operating routines, including policy and procedures, communication and customer service to quickly respond to customer inquiries.
  • Process credentialing and re-credentialing applications of health care providers and assist in the implementation of related procedures and activities.
  • Identify top providers for on-site marketing opportunities and collaborate with the Medicare and Medicaid outreach representative.
  • Conduct strategic and tactical plans for membership growth in Medicare Advantage plans through broker relationships, age-in conversion and provider/clinic education.

Provider Relations Specialist Demographics

Gender

Female

71.3%

Male

19.1%

Unknown

9.7%
Ethnicity

White

60.0%

Hispanic or Latino

18.1%

Black or African American

11.8%

Asian

7.0%

Unknown

3.1%
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Foreign Languages Spoken

Spanish

73.5%

French

6.1%

Italian

4.1%

Portuguese

2.0%

Vietnamese

2.0%

German

2.0%

Ukrainian

2.0%

Carrier

2.0%

Russian

2.0%

Polish

2.0%

Arabic

2.0%
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Provider Relations Specialist Education

Schools

University of Phoenix

35.1%

Strayer University

5.4%

Ashford University

4.7%

Northeastern University

4.7%

Indiana Wesleyan University

4.1%

University of California - Los Angeles

3.4%

Florida State College at Jacksonville

3.4%

Georgia State University

3.4%

American InterContinental University

3.4%

Valdosta State University

3.4%

Florida International University

3.4%

Kaplan University

3.4%

University of New Mexico

3.4%

University of North Carolina at Greensboro

2.7%

University of Illinois University Administration

2.7%

Arizona State University

2.7%

Chicago State University

2.7%

Glendale Community College

2.7%

University of Iowa

2.7%

San Diego State University

2.7%
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Majors

Business

33.9%

Health Care Administration

12.8%

Psychology

6.5%

Communication

5.4%

Management

4.8%

Nursing

3.8%

Marketing

3.8%

Liberal Arts

3.5%

General Studies

3.0%

Accounting

2.9%

Sociology

2.7%

Political Science

2.4%

Social Work

2.3%

English

2.0%

Criminal Justice

2.0%

Human Resources Management

2.0%

Biology

1.7%

Insurance

1.7%

Human Services

1.7%

Public Health

1.5%
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Degrees

Bachelors

43.2%

Other

23.4%

Masters

15.8%

Associate

10.8%

Certificate

4.6%

Diploma

1.4%

Doctorate

0.5%

License

0.3%
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