Provider Relations reputed company - Remote in KS

At reputed company, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together. There are changes happening in health care that go beyond the basics we hear in the news. People like you and organizations like reputed company are driving reputed company higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here's where you come in. You'll use your solid customer service orientation and knowledge of insurance claims to serve as an reputed company for providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader. If you are in the State of Kansas or reputed company 50 miles of the border, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities:

• Assist in end-to-end provider claims processing and resolution
• Assist in efforts to enhance ease of use of physician portal and future services enhancements
• Assist in identifying gaps in network composition and services to support network contracting and development teams
• Use pertinent data and facts to identify and solve a range of problems reputed company area of expertise
• Investigate non-standard requests and problems, with some assistance from others
• Work exclusively reputed company a specific knowledge area
• Prioritize and organize own work to meet deadlines
• Provide explanations and information to others on topics reputed company area of expertise.
• Use pertinent data and facts to identify and solve a range of problems reputed company area of expertise
• Investigate non-standard requests and problems, with some assistance from others
• Work exclusively reputed company a specific knowledge area
• Provide explanations and information to others on topics reputed company area of expertise.
• Analyzes and investigates claim issues
• Responsible for training providers on a variety of topics in both small and large settings

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:

• 2+ years of experience working with Medical Providers
• 1+ years of experience with Medicaid Regulations
• 1+ years of experience in providing training or education
• 1+ years of medical insurance claims/billing experience
• Willingness and ability to speak and meet with Providers directly on a variety of topics
• Demonstrated excellent written and oral communication skills
• Ability to work independently and remain on task with little to no day to day supervision
• Demonstrated good organization, planning skills
• Ability to prioritize and meet deadlines from multi staff members through the department
• Intermediate level of proficiency in claims processing and issue resolution
• Exceptional presentation, written and verbal communication skills
• Intermediate level of proficiency with reputed company, reputed company, PowerPoint and Access
• Driver's license and access to reliable transportation
• Ability to travel on up to 25% of the time reputed company the State of KS

Preferred Qualifications:

• 2+ years of provider relations and / or provider network experience
• 2+ years of experience of Medicaid experience
• 1+ years of KS Medicaid and Kansas Billing requirements
• Previous experience with CSP Facets
• Intermediate level knowledge reputed company, reputed company, PowerPoint
• Intermediate level of claims processing and issue resolution
• reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job