Senior Provider Relations Representative – IRF RCD

Job not on LinkedIn

🔥 16 hours ago

🏈 Alabama, Tennessee – Remote

🏈 Alabama – Remote 🎸 Tennessee – Remote

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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Palmetto GBA

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1965

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Palmetto GBA is one of the nation's largest providers of high-volume Medicare claims and transaction processing, contact center operations, and technical services for federal healthcare programs and commercial customers. The company serves as a Medicare Administrative Contractor (MAC) and supports enrollment, claims adjudication, provider and beneficiary services, specialized programs (e. g. , DMEPOS, Home Health & Hospice, Railroad Medicare), pricing and coding analysis, and third-party administrator functions. Headquartered in Columbia, South Carolina, Palmetto GBA operates across multiple Medicare jurisdictions and is part of the Celerian Group.

📋 Description

• Provide education and training for network providers, staff, suppliers, physicians, beneficiaries, and referral agents • Develop, prepare, review, and update provider education materials, including web-based training, computer-based training, ACT calls, outreach presentations, listserv articles, job aids, resource tools, and web page content • Conduct and facilitate meetings, workshops, training classes, and teleconferences • Develop relationships with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents, and medical/professional associations • Respond to educational needs • Act as liaison between internal divisions, stakeholder groups, and appropriate state/federal agencies • Respond to and resolve issues identified through meetings, workshops, and correspondence • Perform administrative functions supporting education and training • Produce reports for management and provide feedback on activities • Contribute to and complete special projects as assigned • Travel within and potentially outside Alabama, Georgia, and Tennessee as necessary

🎯 Requirements

• Bachelor's Degree required • Degree equivalency: 4 years job-related work experience or Associate's degree and 2 years job-related work experience • 4 years of experience in customer service, claims processing, communications, education/training, provider relations, healthcare, or a combination • Must reside in Alabama, Georgia, or Tennessee • Must be able to travel up to 3–5 days a week, including possible weekday and weekend overnight travel • No current or future sponsorship eligibility • Demonstrated skills in training materials development • Demonstrated skills in classroom presentations to large groups • Working knowledge/understanding of government healthcare programs and HIPAA policies and procedures • Proficiency in word processing, spreadsheet, and database software • Proficiency in spelling, punctuation, and grammar • Verbal and written communication skills • Analytical and critical thinking skills • Basic business math proficiency • Ability to persuade, negotiate, or influence others • Ability to handle confidential or sensitive information discreetly • Ability to identify learning objectives • Strong course design skills, including media and other instructional methods • Ability to evaluate progress and deliver training sessions • Microsoft Office proficiency

🏖️ Benefits

• Subsidized health plans, dental and vision coverage • 401k retirement savings plan with company match • Life Insurance • Paid Time Off (PTO) • On-site cafeterias and fitness centers in major locations • Education Assistance • Service Recognition • National discounts to movies, theaters, zoos, theme parks and more • Diverse and inclusive workplace with opportunities to develop skills, advance careers, and contribute to company growth • Reasonable accommodations for disabilities, pregnancy-related conditions, and sincerely held religious beliefs