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Provider Relations Specialist

Make sure medical teams have the tools and perks they need to do their job.

What does a Provider Relations Specialist do?

A surgery patient needs many things, including painkillers, stitches, an operating table, a gown, and a place to relax when it’s all over. But even if all those things are available, the patient may never get operated on without a provider. Doctors, Nurses, Anesthesiologists, and others must all be present for the surgery to take place. A Provider Relations Specialist makes sure this team is on the job.

When you’re a Provider Relations Specialist at a hospital or clinic, your main job is to ensure that the medical staff has the tools and equipment it needs to do the job right. In a series of meetings, you listen to the staff’s demands, and you take those demands to the Administrator, hoping to come to some sort of agreement.

When you’re a Provider Relations Specialist for an insurance company, your job is slightly different. Here, you ensure that the Doctors, Dentists, and other medical professionals you work with are happy with the compensations packages and perks provided by your insurance company.

The meetings are much the same, but your ability to change the rules might be hampered a bit. After all, one Podiatrist can’t get paid twice what another is paid to do the same work. It’s just not fair.

Clerical work takes up some of your time in the insurance business, as you must keep an up-to-date list of participating providers in your network. Sometimes, these providers call you when they’re having difficulty processing paperwork and getting paid. These calls give you an opportunity to provide a short training session and help the person avoid problems in the future.