Provider Relations Representative Cover Letter

Please consider me for the provider relations representative opportunity. I am including my resume that lists my qualifications and experience.

In the previous role, I was responsible for assistance to consumers seeking health care coverage including providing information on financial assistance programs and public health care programs.

Please consider my qualifications and experience:

• Claims Payment & Customer Service Experience
• Good PC Skills – Word and Excel specifically
• Familiarity with audit re-pricing of claims and provider related contract issues
• Experience utilizing Microsoft Word and Excel - Word - creating and editing documents
• Healthcare claims customer service experience
• Provide interpretation and clarification of benefits, eligibility, and access to care requirements
• Provide support on special projects and performs other duties as needed or assigned
• People are our best asset, and to become a leading global health service company we need to ensure we have the right talent in every role

In response to your job posting for provider relations representative, I am including this letter and my resume for your review.

In my previous role, I was responsible for marketing, public relations, community education and satisfaction surveys to build revenue and maintain the quality provider image in the health care community.

My experience is an excellent fit for the list of requirements in this job:

• Requires carrying a laptop to meeting locations
• Requires packing and carrying product information and supplies to clients and event locations
• Prior Ancillary experience preferred
• Occasional travel to Corporate Phoenix office
• Mileage reimbursement provided
• Potential for fleet car option
• Experience working in a provider services capacity highly preferred
• Intermediate proficiency level with Microsoft Office products, particularly Excel and PowerPoint

I would like to submit my application for the provider relations representative opening. Please accept this letter and the attached resume.

Previously, I was responsible for behavioral provider data subject matter expertise for provider network migrations and implementations or in solving configuration issues.

Please consider my qualifications and experience:

• Should reside in or near Oswego or Lewis County
• Should reside in or near Kings County, New York
• Knowledge of Provider Recruitment and Provider Credentialing
• Requires knowledge of medical terminology, proven communication and negotiation skills, and experience with various reimbursement methodologies
• Intermediate level of proficiency with Microsoft Word (create and edit document) and Microsoft Excel (sort, filter, and basic formulas)
• Intermediate computer skills, including electronic mail, routine database activity, word processing, spreadsheet, graphics
• Experience in provider relations, preferred
• Intimate knowledge of managed care, preferred

I submit this application to express my sincere interest in the provider relations representative position.

Previously, I was responsible for outreach and assistance in completing Texas State Health Care Programs provider enrollment applications.

My experience is an excellent fit for the list of requirements in this job:

• Familiarity with Region providers and hospitals, preferred
• Is conversant with contractual terms of all provider types (i.e., physician, hospital and ancillary) in the HPHC provider network
• Requires travel between client locations, to provider offices, hospitals and professional trade associations as warranted
• Experience with SB137
• Strong communication, negotiation and closure skills
• Knowledge of claims payment methodologies, benefits and restrictions and plan design
• Dexterity of hands and fingers to operate a computer keyboard, mouse, and phone
• Travel capabilities that requires individual mode of transportation to visit client locations and team events

I would like to submit my application for the provider relations representative opening. Please accept this letter and the attached resume.

Previously, I was responsible for leadership to regional staff, including provider quality managers working with behavioral health providers.Directs clinical team activity in conjunction with clinical leadership within the region.Supervises and develops regional staff.

My experience is an excellent fit for the list of requirements in this job:

• High School Diplopa or GED
• Maintain a working knowledge of Medicaid program and policy, online provider resources, internal processes and technological applications
• Provide on demand education regarding policy procedural information to the provider community internal external stakeholders
• Coordinate and conduct trainings for newly enrolled and established providers
• Documentation of all provider external stakeholder communications
• Independent management of local territory by utilizing internal job aids and resources
• Should reside in or near Syracuse, NY
• Post-Secondary school diploma