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Provider Relation Representative, HYBRID-VT

Date:  Jul 9, 2024
Location: 

Williston, VT, US, 05495-2086

Req ID:  25207

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

 

Summary

As a Provider Relation Representative, HYBRID-VT at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details of this position.

Your role in our mission

Gainwell’s Provider Relations Representatives are the liaison between the VT Medicaid provider community and the State of Vermont’s agencies.  As a VT Medicaid subject matter expert, it’s the Provider Rep’s responsibility for the following:

Provider Rep Responsibilities:

  • Assist all providers within assigned counties
  • Answer provider questions regarding VT Medicaid billing, policies, procedures, etc.
  • Proactive outreach that includes:
  • New provider engagement
  • Weekly high denial review
  • Active known issues as assigned
  • Returned claims review
  • Provider visits (virtual or on-site as requested)
  • Monthly Webinars to the provider community
  • Assist state agencies as requested
  • Manage escalations from other Gainwell departments
  • Manage group provider inbox on rotation
  • Other duties as assigned

What we're looking for

  • Background in healthcare claim administration
  • Knowledge of healthcare billing processes
  • Strong written and verbal communication skills
  • Strong customer service skills, Proactive thinker, Self-starter, and Motivated
  • Problem Solver, Time management skills, Multi-tasker and Presentation skills
  • Team player

What you should expect in this role

  • HYBRID position
  • Some training on site, and one day/week on-site regularly.

 

#LI-HYBRID               #LI-JW1

 

The pay range for this position is $43,800.00 - $62,500.00 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 Gainwell. 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 Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

 

Gainwell Technologies 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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