Provider Relations Consultant

🕒 il y a 10 jours

🥔 Idaho – Distant

🥔 Idaho – Remote

💵 $32 700 - $46 700 / an

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

💼 Consultant

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Gainwell Technologies

Site WebLinkedInTous les Emplois

10 000+ employés

⚕️ Assurance santé

💰 Grant en 2023-06

Healthcare Insurance • Human Services • Healthcare

Gainwell Technologies est le principal fournisseur national de solutions numériques et en mode cloud dans l'écosystème des services sociaux et de la santé publique. Avec une approche axée sur les missions, Gainwell sert des clients dans les 50 états américains, en se concentrant sur l'amélioration des résultats de santé et la fourniture d'expériences intuitives centrées sur l'humain. Leur gamme complète de solutions comprend la modernisation de l'entreprise Medicaid, l'analyse de données, les services aux prestataires et les solutions pharmaceutiques, toutes conçues pour faire progresser l'avenir des soins de santé et améliorer le bien-être communautaire.

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

🎯 Exigences

• 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

🏖️ Avantages

• 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