Site representative vs provider relations representative

Differences between site representative and provider relations representative duties and responsibilities

Site representative example responsibilities.

• Understand, administer and manage the contract that exists between the contractor and the client (SCE).
• Conduct in-services on managing patients with chemotherapy-induce anemia to nursing staff at inpatient and outpatient facilities, providing treatment algorithms.
• Work with engineers to answer RFI's or NCR's.
• Monitor performance of an MRO.
• Process and deliver usps mail and overnight packages.
• Request price quotes from multiple sources for MRO materials.
Show more

Provider relations representative example 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.
Show more