Provider Representative Cover Letter

Provider Representative Cover Letter

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15 Provider Representative cover letter templates

What to include in a Cover Letter
1
Company Address
2
Salutation
3
Compelling Details
4
Respectful Closing

How to Write the Provider Representative Cover Letter

5860 Bechtelar Lake
West Joseborough, VT 97613
Dear Indigo Schimmel,

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

Previously, I was responsible for support to Network Contracting, Payment Integrity, Health Services, and other internal departments related to HP reimbursement methods, fee schedules, policies, and Medicare.

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

  • Is able to act on constructive feedback relating to performance
  • Enthusiastic, target driven with a flair for sales
  • Field Rep Experience
  • Dental Insurance experience preferred
  • Prior experience in the healthcare or managed care industry preferred
  • Experience in using microcomputers for spreadsheets and work processing preferred
  • Strong working knowledge of CPT, ICD-9-CM, ICD-10-CM and HCPCS coding preferred
  • Experience in Compliance regulations, appeals and grievance knowledge preferred

Thank you in advance for reviewing my candidacy for this position.

Sincerely,

Morgan Moore

Responsibilities for Provider Representative Cover Letter

Provider representative responsible for technical assistance, consultation, and recommend action plan to SSM Health and PHO's concerning managed care contract review, strategy development, and other managed care matters as appropriate recommendation for execution.

Understands Consultative Selling Strategies, utilizing the behaviors on a daily basis
Knowledge of radiology, modalities, and diagnostic procedures
Medical claims coding is preferred
Customer service experience in a face-to-face or call center environment
Healthcare or health insurance industry background is highly desirable
Enthusiastic and target driven
Can effectively handle several problems at once and remains calm when under pressure
Approaches challenges with a “can do” attitude

Provider Representative Examples

Example #1

Example of Provider Representative Cover Letter

888 Walker Manors
East Oswaldofort, RI 70299
Dear Greer Mraz,

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

Previously, I was responsible for support to Network Contracting, Product, Payment Integrity, Legal, Internal Audit, Revenue Program Management and other internal departments related to Florida Blue reimbursement methods, fee schedules, policies, and Medicare.

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

  • Healthcare customer service experience preferred
  • Services calls and correspondence from providers
  • Reviews phone activity and quality reports to self-monitor performance, quality and productivity standards
  • Demonstrated proficiency in provider reimbursement methods
  • Track record of communicating effectively with all levels of an organization
  • Basic knowledge of medical terminology/medications
  • Self-motivated and self-starter who can work well under minimal supervision
  • Knowledge of healthcare billing processes

Thank you for your time and consideration.

Sincerely,

Rowan Boehm

Example #2

Example of Provider Representative Cover Letter

796 Tim Mountain
Kirlinshire, MA 90171-1015
Dear Azariah Watsica,

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

In my previous role, I was responsible for training to the provider community on claim billing requirements and electronic claim submission software either in-person, via virtual classroom or by phone.

Please consider my experience and qualifications for this position:

  • Able to recognize and utilize resources appropriately
  • Able to share role specific content knowledge
  • Job Role include members inquiring about current insurance coverage, previous insurance coverage, doctors in their programs, co-pays, claims questions
  • Evaluate basis of their quality (as measured by the monitoring of recorded calls), their productivity, their accuracy of information and their attendance and punctuality
  • Quality Customer Service
  • Provides accurate information in a helpful, collaborative manner to callers through thorough knowledge of End Client products, policies and procedures
  • Inquiries to be made primarily by telephone but also through written format (email, mail, fax, etc)
  • Receives, resolves and routes complaints as defined by department policy, procedures and guidelines

Thank you for taking your time to review my application.

Sincerely,

Avery Ortiz

Example #3

Example of Provider Representative Cover Letter

21352 Donna Wells
East Herschelview, ID 49525-4080
Dear Robin Kilback,

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

In the previous role, I was responsible for client service function for managed care claims including clients, broker and/or internal departments and customers (Underwriting, Medical Risk, Accounting and Management).

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

  • Demonstrates professionalism in communication, both verbal and written
  • Experience in Credentialing or Provider Network Management
  • Understands selling strategies, utilizing the behaviors on a daily basis
  • Detailed understanding of ANSI X12 transactions including 270/271, 276, 278, 820, 835, and 837 transactions
  • Experience in a customer service related role with high volume of transactions
  • In depth understanding of Electronic Data Interchange (EDI)
  • Knowledge of EDI testing tools such as Ramp Manager
  • Advanced use of text editors

I really appreciate you taking the time to review my application for the position of provider representative.

Sincerely,

Indigo Little

Example #4

Example of Provider Representative Cover Letter

706 Russel Viaduct
Johnstonmouth, WY 50773-2026
Dear Max Grady,

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

Previously, I was responsible for and updates relevant information on managed care operations to SPMF’s Network offices through The Hot Sheet.

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

  • Proficient in a CRM system
  • Strong problem solving/analytical skills, detail oriented
  • Demonstrated experience working in a contact center environment, dealing with high-profile clients preferred
  • A strong sense of service that drives all actions in the role
  • Solid experience using Microsoft Word and intermediate level experience with Microsoft Excel is essential
  • Solid experience using Microsoft Access or other database tools such as Visual Basic and Adobe
  • Prior experience with web-based applications and data entry preferred
  • Driven and dependable

Thank you for considering me to become a member of your team.

Sincerely,

River Veum

Example #5

Example of Provider Representative Cover Letter

8900 Elane Spring
Crooksborough, VT 35359
Dear Rowan Pouros,

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

In my previous role, I was responsible for timely and effective communication to other care providers to optimize patient care and our relationships with these other care providers.

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

  • Interacts with other End Client staff to resolve customer inquiries, complaints and problems, particularly in Claims Services, Member Services, ILR / COB, Payment Processing, the Provider Processing Center, Provider Relations
  • Provider Contracting, Medical Management, Benefits Administration, Pharmacy Services and the Behavioral Health and High-End Imaging vendors
  • PSRs handles calls regarding claim status, appeal status, elibility and benefits, referral and authorizations
  • Strong Medicare Provider Network background
  • Strong Medicare Advantage PPO / HMO / Dual Special Needs (D-SNP, DSNP)
  • Strong skills with Microsoft Excel, Powerpoint and Word
  • Flexible with process changes
  • Medical Claims exposure

I really appreciate you taking the time to review my application for the position of provider representative.

Sincerely,

Phoenix Davis

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