Provider Relations Representative, Sr. jobs in Wyoming

Provider Relations Representative, Sr. supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. May provide guidance or expertise to less experienced representatives. Being a Provider Relations Representative, Sr. typically requires a bachelor's degree. Typically reports to a supervisor or manager. The Provider Relations Representative, Sr. gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Relations Representative, Sr. typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Provider Relations Field Representative and Trainer - (Must Reside in Wyoming)
  • Acentra Health
  • Warren, WY FULL_TIME
  •  Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solutions to today’s complex healthcare challenges. Our culture is fueled by passion and driven by purpose.

    Acentra seeks a Provider Relations Field Representative/Trainer to join our growing team.

    Position Summary:

    Join Acentra Health's dynamic team as a Provider Relations Field Representative and Trainer, where you'll spearhead our Wyoming program. In this pivotal role, you'll collaborate closely with medical providers, ensuring seamless Medicaid billing and claims submission. As a Provider Relations Field Representative and Trainer, you'll play a crucial role in nurturing strong relationships with medical and healthcare providers across the northwestern quadrant of Wyoming.

    Your primary focus will be providing essential support for Medicaid billing requirements and claims submission, thereby ensuring quality care for Medicaid recipients. Based in the central or northwestern region of Wyoming, you'll report to the Benefits Management Operations Manager in Cheyenne.

    Flexibility is essential, as this role entails approximately 25% to 50% travel. If you're ready to embark on a fulfilling career where your contributions directly enhance healthcare accessibility and quality, we want to hear from you. If you're passionate about making a meaningful difference in healthcare and thrive in a field-based role, this opportunity is tailor-made for you.

    Job Responsibilities:

      • Employ analytical skills to meticulously review and analyze claim and billing data, ensuring utmost accuracy and efficiency in processing.
      • Take proactive steps to establish meaningful connections with provider offices, providing hands-on assistance and nurturing enduring relationships.
      • Help spearhead initiatives aimed at equipping providers with comprehensive billing knowledge, thereby minimizing errors and optimizing procedural efficiencies.
      • Foster close collaboration with team members to swiftly identify and address provider queries, ensuring seamless issue resolution.
      • Identify opportunities for process improvement and proactively propose enhancements to communication and training strategies.
      • Deliver captivating and informative in-person training sessions for providers across rural Wyoming, ensuring engagement and comprehension.
      • Showcase expertise by presenting at association meetings, actively contributing to the advancement of the Division of Healthcare Financing.
      • Develop dynamic and informative presentations to educate providers on pertinent Medicaid policies, fostering understanding and compliance.

    Required Qualifications, Skills, Knolwedge and Experience

      • Bachelor's or Associate's degree in a science or liberal arts field is preferred.
      • Minimum of 2 to 3 years of recent customer service experience in healthcare, medical bill processing, or a similar field is required.
      • Preferably, a minimum of 1 year of experience in preparing and delivering training.
      • Demonstrated ability to effectively prepare and deliver training sessions, with confidence in presenting information to diverse audiences and engaging groups effectively. Comfort with public speaking is essential.
      • Proficiency in standard office tools including Microsoft Word, Excel, PowerPoint, Adobe, and Outlook, along with adeptness in navigating web portal applications efficiently.
      • Highly organized with strong analytical skills and meticulous attention to detail to ensure accuracy in all tasks and documentation.
      • Ability to adapt quickly to changes in tasks and project requirements, maintaining effectiveness and efficiency in a dynamic work environment.
      • Strong verbal and written communication skills, with the ability to convey complex information clearly and concisely to various stakeholders.
      • Must maintain a clean driving record, as travel within the assigned region is a requirement for this role.

    Singularly Focused. Mission Driven.  

    Accelerating Better Outcomes is our Mantra! We are mission-driven to innovate health solutions that deliver maximum value and impact.

    We do this through our people.

    You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

    Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

    Compensation

    The compensation for this role is $55,000 to $64,000 annual salary. Based on our compensation program, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level. Thank you.

    EOE AA M/F/Vet/Disability

    Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

    We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

    ·        ~ The Acentra Health Talent Acquisition Team

  • 7 Days Ago

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Provider Relations Field Representative and Trainer - (Must Reside in Wyoming)
  • Acentra Health
  • Warren, WY FULL_TIME
  • Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our te...
  • 7 Days Ago

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Provider Relations Field Representative and Trainer - (Must Reside in Wyoming)
  • Acentra Health
  • Warren, WY FULL_TIME
  • Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our te...
  • 7 Days Ago

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Inside sales representative
  • Inside Sales Representative
  • Casper, WY FULL_TIME
  • Title Inside Sales Representative About the Organization Cogent is a growing, midwest company that provides creative and innovative fluid processing solutions. Our companies include Automatic Engineer...
  • 22 Days Ago

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Operations Manager - Passenger Transportation - Jackson, WY
  • The Driver Provider
  • Jackson, WY FULL_TIME
  • 02Job description The Driver Provider, founded in 1997, is a premier provider of chauffeured transportation services for individuals, corporate clients and event professionals. With offices throughout...
  • 1 Month Ago

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Drivers Needed - Tour drivers - Limousine/Chauffeur/Shuttles - PT or FT - CDL or NON CDL - Jackson, WY
  • The Driver Provider
  • Jackson, WY FULL_TIME
  • Driver/Limousine Chauffeur - based in Jackson, Wyoming Part Time or Full Time - Nights, Days, Weekends - Flexible Scheduling CDL and Non-CDL positions available Do you like driving? Do you like custom...
  • 1 Month Ago

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Customer Relations Representative
  • Tampa Bay Partnership
  • **Customer Relations Representative** CUSTOMER RELATIONS in St Petersburg, FL, United States St Petersburg, FL, United S...
  • 4/17/2024 12:00:00 AM

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Customer Relations Representative
  • Imperial Stars Acquisition LLC
  • Colonie, NY
  • Job Description Job Description Customer Relations Representative at Imperial Star Acquisition is trained in the aspects...
  • 4/17/2024 12:00:00 AM

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Guest Relations Representative
  • Great Escape
  • Queensbury, NY
  • What You Will Be Doing Assist Guests with the purchase of in park Admission and Group Sales Tickets as well as On-line T...
  • 4/16/2024 12:00:00 AM

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Donor Relations Representative
  • Christus Health
  • Irving, TX
  • Description Summary: Responsible for gift processing and donor relations including: responding to all donor inquiries, r...
  • 4/16/2024 12:00:00 AM

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Customer Relations Representative
  • MaxLite
  • Anaheim, CA
  • Customer Relations Representative Customer Relations Job Type Full-time Description **Customer Relations Representative*...
  • 4/16/2024 12:00:00 AM

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Customer Relations Representative
  • Saertex USA Llc
  • Huntersville, NC
  • Job Title: Customer Service Representative Location: On-Site / Huntersville, NC Reports To: Customer Relations Manager *...
  • 4/16/2024 12:00:00 AM

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Guest Relations Representative
  • Six Flags Great Adventure
  • Jackson, NJ
  • Assist Guests with questions, comments, concerns they may have about their experience while visiting Six Flags. Resolve ...
  • 4/13/2024 12:00:00 AM

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Community Relations Representative
  • AmeriHealth Caritas
  • Hazleton, PA
  • Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are pa...
  • 4/13/2024 12:00:00 AM

Wyoming (/waɪˈoʊmɪŋ/ (listen)) is a state in the mountain region of the western United States. The state is the 10th largest by area, the least populous, and the second most sparsely populated state in the country. Wyoming is bordered on the north by Montana, on the east by South Dakota and Nebraska, on the south by Colorado, on the southwest by Utah, and on the west by Idaho and Montana. The state population was estimated at 577,737 in 2018, which is less than 31 of the most populous U.S. cities including Denver in neighboring Colorado. Cheyenne is the state capital and the most populous city...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$68,590 to $85,061

Provider Relations Representative, Sr. in Duluth, MN
Held meetings with providers to review new policies, products and issue resolution.
January 14, 2020
Provider Relations Representative, Sr. in Norwich, CT
The continued upward spiral in health care costs has challenged sponsors, providers and payers of health benefits to deliver high quality care in the most cost-effective manner possible.
January 21, 2020
Provider Relations Representative, Sr. in Poughkeepsie, NY
The specific duties of customer service representatives vary by industry.
December 25, 2019