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Provider Field Rep

Date:  Aug 6, 2022
Location: 

Any city, AK, US, 99999

Req ID:  11649

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at HMS, a Gainwell Company carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

HMS a Gainwell Company

HMS is hiring Provider Field Rep will handle complex enrollment applications and responses to the client or providers.

Your role in our mission

  • Under minimal supervision, performs routine to complex tasks that are related to various provider claims and policies. 

  • Provides training to the provider community and acts as liaison with our internal departments and the customer to implement programs that are necessary for the Medicaid program. 

  • Performs outreach to providers and the provider community.

  • Applies knowledge of established policies and procedures to resolve provider issues and to work with the customer to ensure compliance.

  • Exercises independent judgment within defined practices and procedures to define appropriate actions.

  • Escalates areas of concern to leadership/the client as defined by procedures.

  • Evaluates unique circumstances and makes recommendations.

  • Works with the customer and the provider community to grow participation in the program.

What we’re looking for

  • Two or more years of credentialing experience, medical billing experience, or healthcare experience.
  • Demonstrated professionalism in communications with providers and customers.
  • Ability to effectively work independently to prioritize and handle multiple tasks and work under aggressive time constraints. Ability to work with details and follow directions.
  • Excellent analytical, problem solving, and decision-making skills.
  • Ability to use multiple window-based screens to perform work. Strong computer skills and knowledge of Microsoft Office products.
  • Ability to be well organized and work under high production standards. Ability to track and follow up on assignments and enrollment applications.

What you should expect in this role

In-Office/Work-from-Home Hybrid

Work-from-home (WFH); or Hybrid model including in-office and WFH days to be defined. For positions assigned to WFH, reliable high-speed internet connectivity is required.  Employees working-from-home may be required to report to the office, at times, to support work efforts.

 

The pay range for this position is $48,000.00 - $60,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at HMS, a Gainwell Company. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

 

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with HMS, a Gainwell Company, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about HMS, A Gainwell Technologies Company at our company website and visit our Careers site for all available job role openings.

 

HMS, a Gainwell Company is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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