Provider Field Rep - Hybrid
Jackson, MS, US, 39157
Summary
Job Description
Essential Job Functions
• Provide on-site training for all newly enrolled providers and as-needed refresher training of providers.
• Assist providers in resolving claim-processing issues.
• Educate providers on system changes, claims submission, Medicaid policy.
• Conduct provider site visits
• Participate in the identification, documentation, analysis and validation of basic business processes, systems, and solution requirements.
• Work with Area Medicaid Offices to implement Medicaid billing/policy changes.
• Create/lead public presentations and provider workshops.
• Promote the use of electronic claims submission by providers.
• Create training and educational materials for providers.
• Maintain a working knowledge of all applicable federal, state, and local laws and regulations regarding healthcare.
• Assist call center and provider enrollment staff with more complicated inquires received.
• All other duties as assigned
Basic Qualifications
• A bachelor's degree preferred in healthcare administration or equivalent; may hold 2-year post-high school degree (insurance, healthcare, or related field) and substitute work experience year for year.
• A minimum of 2 years of experience in client services, provider relations, and claims processing.
• Knowledge and understanding of Medicaid, claims processes and data capturing.
Other Qualifications
• Proficiency in creating presentations, training documents, reports, and analytical graphs.
• Training/teaching onsite or remotely (webinar or similar tools)
• Proficiency in MS Outlook, Excel, and Word.
• Experience working with claims preferred
• Ability to multi-task
• Ability to work independently and as part of a team
• Excellent verbal and written communication skills.
• Ability and willingness to travel with occasional overnight stays (approx. 50% within territory).
Work Environment
• Office environment
• Hybrid (Both remote and office)
Additional Information
• Company transportation will be provided. If personal vehicle is used, reimbursement is available
Job Description
Qualifications
Nearest Major Market: Jackson Mississippi