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Salary and Benefits

Provider Relations Specialist
$44K-$53K / yr. (est.)
$44K
$48,963 / year
$54K
Average base salary
The salary information provided is based on data collected from various reliable sources and may vary depending on individual qualifications and other factors.

About Provider Relations Specialist

What does a Provider Relations Specialist do?

As Provider Relations Specialists, our primary tasks include serving as the liaison between healthcare providers and insurance companies, ensuring smooth communication and relationship management. We handle contract negotiations, address any provider grievances, and maintain up-to-date records of provider credentials. We assist in resolving any issues related to billing and claims, offering guidance and support to providers to ensure compliance with regulations. Additionally, we analyze provider performance data to facilitate improvements in service delivery.

Core tasks:

  • Managing and negotiating provider contracts and agreements
  • Resolving claim disputes and provider grievances
  • Maintaining provider credentialing and record-keeping
  • Conducting provider performance evaluations and feedback
  • Facilitating communication and providing support between providers and insurance entities

Insights

How Many Years of Experience Do Professionals Need Before Becoming Provider Relations Specialist?
On average, people work 5-7 years in other positions prior to becoming a Provider Relations Specialist.
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Pharmacy TechnicianNew York City, NY - A year ago
😡 Providers Relations Specialists should be trained directly for their role. Years of unrelated work won't make them better at what they do!
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Healthcare ConsultantPhiladelphia, PA - A year ago
Well, as a fellow healthcare professional, I can see why they might need the experience. Interacting with providers requires vast knowledge of the industry. 👨
How Long Do Provider Relations Specialist Employees Typically Stay in Their Roles?
On average, Provider Relations Specialists works in this position for 3-5 years across multiple employers.
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Health Information ManagerHouston, TX - A year ago
🙄 Provider Relations Specialists need to understand the importance of longevity in their employment history. It shows commitment and stability in the role.
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Healthcare ReceptionistMiami, FL - A year ago
3-5 years? Most of us are lucky if we can even find an employer willing to give us a chance in this competitive field!
What Is the Job Hopper Score for Provider Relations Specialist Employees?
Moderate job changes in Provider Relations Specialist, showing some career movement without excessive turnover.
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Medical Billing SpecialistHouston, TX - A year ago
💔 I have been dreaming of transitioning into the Provider Relations field, but seeing this infographic makes me fear a stagnant career.
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Medical TranscriptionistMiami, FL - A year ago
i have worked as a Medical Transcriptionist for years and i can confirm that this infographic is accurate. Provider Relations Specialists do have the potential for moderate job changes without excessive turnover.

Career path

Path to job

Discover a Provider Relations Specialist's areas of knowledge sorted by their majors.
Explore the list of higher education institutions that a Provider Relations Specialist typically studied at.
California State University-Long Beach
Penn State University

Path after job

Community

Demographics

What Is the Age and Gender Ratio of Provider Relations Specialist Employees?
Gender ratio in Provider Relations Specialist position: 0.350653206650831 Male and 0.649346793349169 Female. Age ratio in Provider Relations Specialist position: 16-20: 7%, 21-30: 61%, 31-40: 21%, 41-50: 9%, 51-60: 2%, 60+: 0%. Provider Relations Specialist position is predominantly female (64.9%) with the largest age group being 21-30 years old, followed by 31-40 years old.
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Provider Relations SpecialistSeattle, WA - A year ago
Whoa, only 2% of people in this role are in their 51-60s! Is there a reason why this occupation typically doesn't attract older professionals?
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Provider Relations SpecialistNew York City, NY - A year ago
🤔 Do these statistics suggest that there is an age bias in the hiring process for Provider Relations Specialist positions?

Workplaces

Who Are the Top Employers for Provider Relations Specialist?
Top employers of Provider Relations Specialist position: Aetna, a CVS Health Company, Centene Corporation, Humana. People who work in Provider Relations Specialist position most typically go on to work for the Aetna, a CVS Health Company.
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Provider Relations SpecialistPhiladelphia, PA - A year ago
Aetna is overrated! I worked there before and their work environment was toxic. I'd never recommend it to anyone. 😠
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Provider Relations SpecialistSeattle, WA - A year ago
Aetna, CVS, Centene, Humana... They're all the same! Just soulless corporations. 🤬
Aetna, a CVS Health Company
Centene Corporation
Humana
What Industries Does Provider Relations Specialist Typically Have Experience In?
Industry Background: The most typical industries of Provider Relations Specialist: Finance & Insurance, Health Care, Information Technology, Professional / Scientific / Technical, Administrative & Support. Provider Relations Specialist employees most likely come from a Finance & Insurance industry background.
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Provider Relations SpecialistHouston, TX - A year ago
Being a Provider Relations Specialist in the professional / scientific / technical industry can be a rollercoaster ride. 🎢 The complex billing and coding issues can make your head spin!
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Provider Relations SpecialistMiami, FL - A year ago
Man, as a Provider Relations Specialist in administrative & support, I gotta deal with endless paperwork and ever-changing regulations. It's enough to drive anyone bonkers! 😫

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Discussion about Provider Relations Specialist

Want to know more about Provider Relations Specialist position?
Share your thoughts and ideas about Provider Relations Specialist position with others in our community.
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Is Provider Relations Specialist a female or male dominated profession?
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Sophie Hayes3 years ago
Women are more common working as a Provider Relations Specialist.
How old are people who work as a Provider Relations Specialist?
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Benjamin Gardner3 years ago
The typical age is 29.
Do I need a lot of experience to be a Provider Relations Specialist?
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Benjamin Gardner3 years ago
You probably need around 6 years to work as a Provider Relations Specialist
Which industries are highly likely to employ a Provider Relations Specialist?
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Benjamin Gardner3 years ago
Finance & Insurance is the most frequent for a Provider Relations Specialist.
Is a degree needed to work as a Provider Relations Specialist?
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Sophie Hayes3 years ago
As a Provider Relations Specialist you’ll probably need No higher education
Where are you working as a Provider Relations Specialist?
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Isabella Holmes3 years ago
Aetna, a CVS Health Company, Centene Corporation, Humana, Molina Healthcare and UnitedHealth Group employs the most people in the Provider Relations Specialist role.
How long do you usually work as a Provider Relations Specialist before changing to another position?
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Benjamin Gardner3 years ago
4 years is the typical lifespan for a Provider Relations Specialist.
Is it common for people to switch companies and still work as a Provider Relations Specialist?
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Isabella Holmes3 years ago
The job hopper score is medium for a Provider Relations Specialist.
From which job titles people come from to work as a Provider Relations Specialist?
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Benjamin Gardner3 years ago
Most people come from Provider Relations Representative, Customer Service Representative or Provider Services Representative roles
What can be the next step in your career path from Provider Relations Specialist?
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Isabella Holmes3 years ago
Provider Relations Manager, Provider Relations Representative or Customer Service Representative can be a good next step
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