Provider Relations Representative Salary in California, Maryland

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Average Salary for Provider Relations Representative in California, Maryland

The average salary of a(n) Provider Relations Representative in California, Maryland is $57,457.

The average hourly rate of a(n) Provider Relations Representative in California, Maryland is $27.62.

The average bonus of a(n) Provider Relations Representative in California, Maryland is $1,304.00.

Job Description:

Monitors and coordinates governmental or private health care programs to ensure quality health care and facilitate claim processing, and negotiates contracts for health care programs between insurance companies and health care providers. Analyzes reports and documents regarding health care usage of program participants, utilizing computer; develops agenda to address issues; compiles list of recurring health care claims processing issues; and conducts information and training workshops with employees who process and file claims to resolve claim processing errors. Formulates contract draft of agreement between participants of health care program, utilizing information, such as standard agreement procedures, insurance company policies, and governmental requirements, using computer. Presents health care program contracts to participating parties, discusses modifications suggested by parties involved, and obtains signatures of required representatives on new, renewed, or revised contracts. May monitor phone calls received by medical claim processors to evaluate services offered by employees. May investigate and resolve medical care provider claims reimbursement and program procedural problems. May review evaluation forms completed by workshop participants to determine whether workshop presentation covered processing errors. May specialize in contract negotiations or serve as consultant to facilitate claim processing. Less

Monitors and coordinates governmental or private health care programs to ensure quality health care and facilitate claim processing, and negotiates contracts for health care programs between insurance companies and health care providers. Analyzes reports and documents regarding health care usage... More

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