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Provider Relations Representative

Company: Gainwell
Location: East Hartford
Posted on: November 18, 2021

Job Description:

Essential Job Functions: This position requires a comprehensive knowledge of the CT Medical Assistance Program as well as in-depth mastery of the related online screens and windows required for provider research. This position requires excellent written and verbal communication skills in order to respond to inquiries from the provider community regarding all aspects of the Connecticut Medical Assistance Program, including policy and billing procedures. Responsible to conduct research on claims status, billing procedures, and answer provider inquiries. This person will conduct provider and customer training as well as internal training to call center representatives. Additional responsibilities will include writing bulletins, provider billing instructions, contributing to the development of definition documents related to program changes to their assigned provider groups. Ideal candidate will have strong experience in MS Office Suite as well experience with SharePoint Designer and familiar with formatting HTML code. Ideal candidate will have college degree or high school diploma with minimum 5 years equivalent work experience. Job Functions:

  • 40% Claim research on escalated issues, to include providing second level support to the Provider Assistance Call Center
  • 30% Conducting training, workshops, and provider outreach
  • 10% Composing training, workshop, bulletins, newsletters, and other written communication materials to the provider community
  • 10% Attending professional association meetings and conferences
  • 05% Travel to provider sites
  • 05% Reviewing and validating test output for system enhancements Job Requirements:
    • Follow through with the client
    • Follow up on client inquires
    • Responding to client and customer emails
    • Maintain relationships with client contacts
    • Support other client data stewards
    • Receive a huge client base
    • Answering client phone calls in a timely manner
    • Orchestrate the transformation and integration of client data into highquality client information assets and ensure client satisfaction and engagement throughout the client data implementation lifecycle
    • Ensure achievement of client goals
    • Assist with questions or issues with clients
    • Assist the client with technical difficulties
    • Help manage client relationship systems and processes to ensure flawless customer service for clients
    • Partnering and financial management, including communicating with the client and client teams
    • Manage proactive client identification projects
    • Manage internal and client expectations
    • Attribute and how support client learning
    • Trust in the client relations representative
    • Prepare the client suite according to client preferences, and on the day of the client's arrival, the Concierge becomes the client's on-site key interface
    • Manage the schedule of client scans
    • Mentor and support other client data stewards

Keywords: Gainwell, East Hartford , Provider Relations Representative, Other , East Hartford, Connecticut

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