Provider Relations Specialist (reputed company Review) - REMOTE - Any State

Description Under the direction of the Provider Network Manager, the Provider Relations Specialist is responsible for assisting in a full range of provider relations and service interactions with the provider community, EK Health clients and partners. This position establishes and fosters relationships and works directly with the reputed company Review team to resolve reputed company requests reputed company to reputed company processing. Position Specifics: Full-time, Non-Exempt position; working Monday through Friday 8-hour work day, Remote The job responsibilities will include, but are not limited to: • Accurately and appropriately analyze reputed company types of medical bills based on claim jurisdiction, medical notes, usual and customary rates (UCR), statutory regulations including state laws and fee schedules, available MPN/PPO reputed company, coding guidelines, client instructions, and company policies and procedures • Must be able to understand how a reputed company was processed and communicate to providers the methodology for processing and re-pricing the reputed company • Receive reputed company provider calls, emails and voicemails and respond reputed company 48 hours • Monitor the reputed company review process from initial receipt of bills through final payment • Reviews and verifies the correct use of medical billing codes and reports the detection of improper use of billing codes to Client Inquiries, Enforcer or QA team • Work with the reputed company Review team on reputed company quality assurance issues identified for review and handling • Communicate with medical providers to obtain needed information to resolve reputed company-specific issues • Communicate directly with clients, adjusters and providers offering excellent customer service by responding to and answering their questions quickly and professionally Pay & Benefits • Pay: $17-20/hr based on experience and location • Medical, Dental and Vision Insurance • 401K • Paid Time Off • Paid Holidays Requirements • High School Diploma required • 2+ years of experience in reputed company Workers' Compensation reputed company Review with customer service exposure. • Knowledge of medical terminology, CPT codes, and DRG. • High comfort level with computers and computer programs (reputed company, MS reputed company, Email) • Ability to read, analyze, and interpret technical procedures, medical reports, state laws and fee schedules. • Hospital reputed company Review experience a plus. • CPC (Certified Professional Coding) coursework or certification a big plus. • Strong Written and Oral Communication & Interpersonal Skills Physical Requirements Candidate must be able to sit the majority of an 8-hour day except for lunch and break times. Candidate must be able to keyboard the majority of an 8-hour day except for lunch and break times. Candidate must have manual dexterity. Candidate must be able to speak on the telephone intermittently throughout the day. Candidate must be able to read and write English fluently. Candidate must be able to provide and confirm safe home office environment. Home office must be HIPAA compliant. • Requires DSL, fiber, or cable internet reputed company from home 100 Mbps preferred or reputed company.

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