Top 47 Customer relations representative Jobs in Santa Rosa, Ca

Provider Relations Representative
Imperial Management Administrators Services Inc —Santa Rosa, CA
- $70,000 - $74,000 a year
- Remote
- Microsoft Excel
- Microsoft Outlook
- Marketing
Quick Apply
CUSTOMER SERVICE REPRESENTATIVE II-III - Rohnert Park, CA
Summit State Bank —Rohnert Park, CA
- $25 - $29 an hour
- Full-time
- Mid-level
- Office
- 2 years
- Health savings account
- AD&D insurance
Financial Services Representative - Bilingual + Floating
Community First Credit Union —Santa Rosa, CA
- $23.94 - $28.77 an hour
- Full-time
- Spanish
- Computer literacy
- Mid-level
- Wellness program
- Health savings account
Quick Apply
14d
Central Operations Service Representative II-III
Poppy Bank —Santa Rosa, CA
- $20.00 - $32.50 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Office
Benefits Supervisor
City of Santa Rosa, CA —Santa Rosa, CA
- $122,933 - $157,052 a year
- Full-time
- HIPAA
- English
- Office
- Paid holidays
- Disability insurance
6d
MEDICAL RECEPTIONIST - Front Office Coordinator
Evolve Restorative Center —Santa Rosa, CA
- $22 - $26 an hour
- Full-time
- Background check
- Private practice
- Spanish
- Health insurance
- Dental insurance
Quick Apply
8d
Front Desk Agent
Sage Hospitality —Sonoma, CA
- $25.44 an hour
- Full-time
- No experience needed
- English
- High school diploma or GED
Promontory Hospitality Administrator
Promontory —Napa, CA
- $31.50 - $35.00 an hour
- Weekends as needed
- Microsoft Word
- Microsoft Outlook
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Regional Property Manager
BURBANK HOUSING MANAGEMENT CORPORATION —Santa Rosa, CA
- $96,000 - $105,000 a year
- Full-time
- Spanish
- Clean driving record
- Microsoft Outlook
Quick Apply
Customer Service Manager
WESTAMERICA BANK —Rohnert Park, CA
- $70,304.00 - $71,286.26 a year
- Full-time
- Management
- Ability to walk for extended periods
- Basic math
Quick Apply
Assistant Community Manager (Fetters, Celestina Gardens)
MidPen Housing —Sonoma, CA
- $21.15 - $23.80 an hour
- Customer service
- Mid-level
- Office
- Commuter assistance
- Paid parental leave
Quick Apply
4d
Event Lead (Seasonal)
Cline Family Cellars & Jacuzzi Family Vineyards —Sonoma, CA
- $22 - $24 an hour
- Weekends as needed
- Bar
- Sales
- Customer service
HR Generalist
Bellwether Farms LLC —Petaluma, CA
- $70,000 - $85,000 a year
- Monday to Friday
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Account Representative - State Farm Agent Team Member
Jessica Yniguez - State Farm Agent —Novato, CA
- $45,000 - $65,000 a year
- Full-time
- Office
- Communication skills
- Marketing
- Paid time off
- Opportunities for advancement
Quick Apply
Senior Planner
City of Rohnert Park, CA —Rohnert Park, CA
- $50.46 - $61.33 an hour
- Full-time
- English
- Office
- Administrative experience
- Paid holidays
- Disability insurance
5d
Banker Positions
Poppy Bank —Petaluma, CA
- $20.00 - $28.60 an hour
- Full-time
- Microsoft Outlook
- Word processing
- Mid-level
Tasting Room Representative
E. & J. Gallo Winery —Saint Helena, CA
- $25.50 an hour
- Weekends as needed
- 18 years or older
- Writing skills
- Basic math
- Profit sharing
- Health insurance
20h
Water Agency Plant Operator
County of Sonoma —Santa Rosa, CA
- $118,527.54 - $144,073.89 a year
- Weekends as needed
- Microsoft Excel
- Pass drug screening
- English
- Paid parental leave
- Health savings account
Operational Branch Services Officer On-Call
WESTAMERICA BANK —Novato, CA
- $29 an hour
- Part-time
- Ability to walk for extended periods
- Basic math
- Mid-level
Quick Apply
Teller On-Call
WESTAMERICA BANK —Petaluma, CA
- $18.31 - $21.73 an hour
- Part-time
- Ability to walk for extended periods
- Basic math
- Office
Quick Apply

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Provider Relations Representative

Imperial Management Administrators Services Inc -
Santa Rosa, CA

Quick Apply

Job Details

$70,000 - $74,000 a year

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
English
Driver's License
Negotiating purchasing contracts

Full Job Description

Must reside in the North Bay, California area (Marin, Napa, Solano or Sonoma County)

JOB DESCRIPTION

JOB TITLE: Provider Network Administrator FLSA STATUS: Exempt

DEPARTMENT: Provider Network Management

REPORTS TO: Sr. Provider Network Administrator

JOB SUMMARY: Maintains a successful working relationship between Imperial Health Plans, network providers, and partner health plans through a full range of provider relations and service interactions to ensure network adequacy, and provider relations. Identify and communicate operational issues raised by providers, respond to customer complaints, customer satisfaction surveys and provider questions, and research and resolve accounts payable issues. Routinely negotiate cost effective fees for single services, confirm service capability and educate providers on contract expectations, processes, and paperwork. Comprehend detailed knowledge of Imperial’s requirements in order to adapt agreements, contractual requirements and fee agreements to the specific situation. Must be able to routinely evaluate and analyze the most beneficial solution for Imperial and our network providers in a variety of circumstances.

ESSENTIAL JOB FUNCTIONS:

1. Complete required Provider Office Face-to Face Visitation (daily, weekly, monthly) as assigned or predetermined by department management.

2. Assess and resolve specific provider concerns, developing and implementing solutions that are beneficial to providers, Imperial Members and Imperial.

3. Maintain network adequacy. Lead efforts to obtain letter of agreements as necessary.

4. Onboard new providers within 10 business days. Train providers on an annual basis.

5. Assess and respond to leads generated by brokers, providers, and customers.

6. Negotiate fees that align provider needs and Imperial business objectives. Educate providers on fee structures to ensure collaborative agreement and understanding of Imperial Services and the fees associated with them.

7. Staff Provider Relations Telephone Queue, adequately respond to and resolve incoming calls in the appropriate manner.

8. Respond to Customer Satisfaction Surveys and Customer Complaints within the required time frame through investigation and problem solving that results in positive outcomes.

9. Provide explanations and information to others on topics within area of expertise.

10. Proactively review and maintain provider compliance documents to ensure active status within provider network.

11. Collaborate with other departments to assign qualified providers to orders within the contractually allowed mileage radius of the patient's home zip code.

12. Maintains regular and consistent attendance.

13. Adheres to Compliance Plan and HIPAA regulations.

MARGINAL JOB FUNCTIONS:

1. Takes on special projects as needed.

2. Performs other duties as assigned.

BEHAVIORAL EXPECTATIONS:

1. Continuous Learning:

a. Attends staff meetings as required.

b. Attends appropriate training, seminars and workshops as required

2. Customer Focus:

a. Maintains client/customer confidentiality and privacy in accordance with HIPPA regulations and IMAS’s Standards of Conduct.

b. Fosters appropriate communication and relations with Supervisor, co-workers and other staff.

3. Quality/Process Improvement/Safety

a. Reports issues of security, health and/or safety to appropriate supervisor as soon as practicable.

b. Supports and demonstrates safety throughout all duties performed.

c. Follows established policies and procedures and understands and complies with all regulators standards set forth by governing entities.

POSITION REQUIREMENTS:

EDUCATION/EXPERIENCE:

 High school graduate or equivalent.

 Bachelor’s Degree (or higher) in Business, Marketing, Communications or healthcare related field

 3+ years of related experience in provider relations, network management, customer service, contract negotiations, account services and/or account management, etc. (or High School Diploma /

GED and 3+ years of related experience)

SKILLS/KNOWLEDGE/ABILITY:

 Must reside in the County where work is assigned

 Microsoft Office Suite (Word, Outlook, Excel

 Knowledge of negotiating rates and managing subcontractor relationships

 Knowledge of Medicare and Medical terminology (preferred)

 Willingness and ability to read, write, speak, understand English and have the communications skills necessary to provide accurate information to residents and staff.

 Willingness and ability to follow written and verbal direction in English.

 Willingness and ability to maintain appropriate level of confidentiality and privacy.

 Willingness and ability to interact professionally with all customers, members, and co-workers, individually and as part of a team.

 Willingness and ability to effectively handle multiple items/tasks as required and adapt favorably to changing priorities.

 Willingness and ability to make appropriate judgments, decisions and problem solving in a timely manner and within the context of the situation at hand.

 Ability to effectively prioritize items/tasks as required.

 Willingness and ability to take initiative and be a self-starter.

 Willingness and ability to understand and comply with Federal, State, and local regulations.

LICENSURE/CERTIFICATE/TRAINING:

 Driver’s License – must have reliable transportation with automobile insurance

Quick Apply

Refine Your Search

customer relations representative jobs in santa rosa, ca

Provider Relations Representative

CUSTOMER SERVICE REPRESENTATIVE II-III - Rohnert Park, CA

Financial Services Representative - Bilingual + Floating

Central Operations Service Representative II-III

Benefits Supervisor

MEDICAL RECEPTIONIST - Front Office Coordinator

Front Desk Agent

Promontory Hospitality Administrator

Regional Property Manager

Customer Service Manager

Assistant Community Manager (Fetters, Celestina Gardens)

Event Lead (Seasonal)

HR Generalist

Account Representative - State Farm Agent Team Member

Senior Planner

Banker Positions

Tasting Room Representative

Water Agency Plant Operator

Operational Branch Services Officer On-Call

Teller On-Call

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