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Provider Relations Representative

Date:  Jun 16, 2022
Location: 

East Hartford, CT, US, 06108-3200

Req ID:  11005

Job Description

Compensation for this position starts at  $55,000, based on individual skills and experience. At Gainwell Technologies, we’re committed to your total well-being. In addition to monetary compensation, we’re proud to offer meaningful health and financial benefits that allow you to create a personalized benefits package to meet your needs and those of your family! These benefits include a variety of medical, dental and vision plans from which to choose, company-matched 401(k) plan, flexible PTO, 11 paid holidays per year, paid sick time, and employee wellness and discount programs.
 

Job Description:
This position requires a comprehensive knowledge of the CT Medical Assistance Program as well as in-depth mastery of the related online screens and windows required for provider research.  This position requires excellent written and verbal communication skills in order to respond to inquiries from the provider community regarding all aspects of the Connecticut Medical Assistance Program, including policy and billing procedures.  Responsible to conduct research on claims status, billing procedures, and answer provider inquiries.  This person will conduct provider training via onsite visits and provider workshops as well as internal training to provider assistance center analysts. Additional responsibilities will include writing bulletins, provider billing instructions, contributing to the development of definition documents related to program changes to their assigned provider groups.  Ideal candidate will have strong experience in MS Office Suite as well as SharePoint Designer and familiar with formatting HTML code. 

Job Functions:
40% Claim research on escalated issues, to include providing second level support to the Provider Assistance Call Center
30% Conducting training, workshops, and provider outreach
10% Composing training, workshop, bulletins, newsletters, and other written communications to the provider community
10% Attending professional association meetings and conferences
05% Travel to provider sites
05% Reviewing and validating test output for system enhancements


Work Environment:
•    Primarily work from home, must be located in CT
•    May require work from the East Hartford office periodically, or full time, in the future

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