Provider Relations Specialist

Job Title: Provider Engagement Account Manager

Duration: 6 (Possibility to extension or conversion)

Location: Remote, OK (Candidates must reside in OK)

Daily schedule: M-F 8am-5pm CST (Training M-F 8am-5pm CST – 4-6 weeks 1on1)

Note: Provider offices – drive time will likely be under 2 hours, will try to make it as close as possible to the candidate.

Travel will be about 2 days per week. If drive time is 2 hours, will be provided a rental car.

Do you have any additional upcoming hiring needs, or is this request part of a larger hiring initiative?

• We assist providers with claims questions, adding/terming providers to their practice, educate on ways to improve quality scores and any other need a provider may have.
• We currently have one PEAM out on an extended Leave of Absence and in order to continue assisting providers, we need to fill that position until they return.
• Managing provider performance, will be visiting provider offices

Typical Day in the Role

• Job duties include communication with providers and other teams through OCH via email, telephone and in person.
• Researching issues as needed, in-person visits to providers, as well as other duties as assigned.
• No two days look the same as we respond to whatever issue a provider is having that day.

Education Required:

• Must have Bachelor’s degree in related field

Years of experience required:

• 3 years of experience to include insurance, claims and/or direct contact with providers
• Three years of provider relations, provider claims/reimbursement, or contracting experience.
• Knowledge of health care, managed care, Medicare, or Medicaid.
• Bachelor’s degree in healthcare or a related field preferred.
• Claims billing knowledge preferred.

Must-have hard skills

• Communication skills a MUST
• Attention to detail, tech savvy, ability to troubleshoot and work independently
• Time management