Provider Relations Consultant

🕒 May 25

🥔 Idaho – Remote

🥔 Idaho – Remote

💵 $32.7k - $46.7k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💼 Consultant

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Healthcare Insurance • Human Services • Healthcare

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Support the Regional Provider Relations team by researching, investigating, documenting, and responding to provider and state partner inquiries within established response time standards • Manage out-of-state and non-bordering Idaho provider concerns, including outreach, education, issue resolution, and follow-up • Build and maintain professional relationships with healthcare providers, provider offices, associations, state partners, and operational teams • Assist with the development and delivery of provider education materials through one-on-one support, virtual meetings, workshops, conferences, and group sessions • Research claims, enrollment, credentialing, billing, compliance, and operational issues while identifying opportunities for workflow and process improvement

🎯 Requirements

• 2+ years of experience in healthcare operations, provider relations, provider services, claims research, provider enrollment, credentialing, medical billing, or healthcare customer support • Experience working with healthcare providers, state programs, payer operations, provider offices, billing agencies, or healthcare support functions preferred • Experience researching and resolving provider-related claims, enrollment, billing, credentialing, compliance, or operational inquiries • Strong written and verbal communication skills with the ability to educate, present, and communicate professionally with providers and stakeholders • Strong organizational, analytical, time management, technical, and problem-solving skills with proficiency in Microsoft Office and business systems

🏖️ Benefits

• Comprehensive benefits package including medical, dental, vision • 401(k) with company match • Paid time off • Company-observed holidays • Flexible vacation policy • Educational assistance • Leadership and technical development academies