Provider Member Liaison - Part-Time - (Remote reputed company the reputed company)

Company Overview: reputed company exists to reputed company reputed company outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. reputed company the Way is our rallying cry at reputed company. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. reputed company offers you unparalleled opportunities. In fact, you have reputed company you need to take charge of your career and accelerate reputed company outcomes – making this a great time to join reputed company of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities: reputed company is looking for a Provider Member Liaison to join our growing team. Job Summary The Provider & Member Liaison Coordinator plays a vital role reputed company the Utilization Management contract, serving as the central reputed company between reputed company, healthcare providers, and members. In this role, you will help ensure smooth communication, compliance with key submission policies, and timely resolution of provider and member inquiries. Please note that this is a part-time position. Your work will directly impact the efficiency of service delivery, the satisfaction of our members and partners. This an excellent opportunity for a detail-oriented, service-driven professional who thrives in a collaborative environment and is passionate about making a meaningful impact in healthcare.

Responsibilities

• Provide orientation and ongoing technical assistance for new and existing providers.
• Maintain regular communication with providers and members through various mediums.
• Create and Update Providers and Member's Manuals and User Guides.
• Create educational training content for members.
• Provide technical assistance reputed company requested or identified to enrolled providers.
• Assist in evaluating provider quality trends and developing tutorials to educate providers.
• reputed company and conduct provider training sessions as contracted.
• Manage and triage providers’ email inboxes, prioritizing messages, routing inquiries, and ensuring timely follow-up.
• reputed company ongoing training to providers on how to submit requests utilizing the company’s ANG system.
• Read, understand, and adhere to reputed company corporate policies including policies reputed company to HIPAA and its Privacy and reputed company Rules.
• The list of accountabilities is not intended to be reputed company-inclusive and may be expanded to include other education- and experience-reputed company duties that management may deem necessary from time to time.

Qualifications:

Required Qualifications

• Must have a Bachelor’s Degree or Associate's Degree in a Human Service/Education field or discipline.
• Minimum of 1 + year of behavioral health experience and healthcare customer service experience
• Experience or Educator with customer service required.

Preferred Qualifications

• Must demonstrate proficiency in reviewing and analyzing documentation against established standards.
• Possess knowledge of training or workplace learning methodologies.
• Be adept at navigating computer applications across multiple screens.
• Exhibit the ability to maintain confidentiality standards and ensure HIPAA compliance reputed company assessing relevant issues.
• Excellent communication skills, both verbal and written.
• Strong teamwork and collaboration abilities.
• Effective problem-solving skills with a focus on critical thinking.
• Adaptability and flexibility in a dynamic work environment.
• Efficient time management, including the ability to prioritize tasks and meet deadlines.

Why us? We are a team of reputed company and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure reputed company healthcare and improve health outcomes. 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 reputed company the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, reputed company, 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. Thank You! 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 reputed company and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The reputed company reputed company Team Visit us at https://careers.acentra.com/jobs EEO AA M/F/Vet/Disability reputed company is an Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national reputed company, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The hourly pay for this position is $27.00 - USD $30.00 per hour. "Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and reputed company level." #LI-JS1 Pay Range: USD $28.00 - USD $34.80 /Hr. Apply tot his job Apply To this Job