1+ months

Provider Relations Representative (ACO) - (115872)

Universal Health Services
Amarillo, TX 79101
  • Job Code
    115872

Job Summary: The Provider Relations Representative develops & maintains positive relationships with physicians, providers, and practice managers within the provider network, including oversight & managing performance in various incentives based and/or value based programs. Responsible for educational needs of providers and their office staff in any matters concerning provider relationships with participation in the Accountable Care Organization, Prominence Health Plan and network service issues. Facilitates the development of a comprehensive provider network and serves as the primary contact, delivering standard ACO data reports, offering education, technical assistance and problem solving as necessary.

Job Requirements

Regulatory Requirements:

  • Associates's Degree.
  • Knowledge of provider reimbursement, Medicare reimbursement, coding and Hedis Measures and care gap reporting preferred.
  • Understanding of provider office dynamics and optimal approaches to communicating and educating providers and provider staff

  • Understanding of provider reimbursements and coinciding challenges (FFS, CPT code reimbursement, etc.)

  • Understanding of health plan departments and functional areas for problem resolution

  • Experience in customer service/relations-like roles

Language Skills:

  • Ability to effectively communicate in English, both verbally and in writing.

Skills:

  • Proficient in Microsoft Office skills (Excel, Word, Access, etc.)

  • Enjoys working in both individual and team settings

  • Problem solver enjoys problem solving

  • Self-starter, resourceful and able to execute projects in a fluid and fast paced environment

  • Good communication and relationship skills

  • Strong analytical skills

  • Attention to detail

  • High level of energy

Categories

Posted: 2019-12-13 Expires: 2020-03-23

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Provider Relations Representative (ACO) - (115872)

Universal Health Services
Amarillo, TX 79101

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