Provider Relations Representative
Job Description
About the job:
This is an in-office position with travel in the field to provider offices.
Our Organization:
Welcome to Arkos Health! We are a value-based healthcare company providing solutions for payors and providers by combining unique technology with in-home, virtual, and in-clinical care for patients. Backed by a robust technology platform, innovative software, and a light human touch, Arkos Health is committed to delivering advanced and accessible community-based services allowing our clients to live healthier, more independent lives. How do we do this? Arkos serves health plans and provider organizations by managing their highest-risk and highest-cost populations. Our goal is to be the most valued partner to health plans, service providers, and the community we collectively serve.
How You’ll Make a Difference:
Arkos Health is seeking a Provider Relations Representative. The Provider Relations Representative will be responsible for consistent maintenance through telephonic, face-to-face, and written communication. It is vital to establish and retain positive and successful relationships with the participating provider network. The Provider Relations Representative will possess excellent relationship building skills. The position requires someone with an outgoing personality, attention to detail, and firm understanding of the health care delivery system. The Provider Relations Representative will maintain a collaborative, advising, and attentive attitude always.
Essential Duties and Responsibilities:
- Develop and maintain provider relationships and serve as a primary resource for information and problem solving between the provider network by maintaining a regular schedule of physician office visits
- Dutifully ensure open lines of communication between Arkos and the provider network to address concerns, answer questions, and apprise offices of quality care metrics
- Ensure providers receive timely and accurate information regarding organization initiatives, services, programs, policies and procedures, and quality and productivity measurements
- Provide feedback based upon tracked metrics
- Coordinate, participate and attend providers programs sponsored by the organization
- Maintain a structured process for quality of audits, tracking and trending of provider metrics
- Investigate and resolve administrative issues and concerns between provider network and health plans
- Respond to incoming phone calls and emails promptly
Qualifications and Skills:
- Associates degree or relevant equivalent experience
- Preferred knowledge of CPT, ICD, HCPCS, HCC coding; training may be available for the right candidate
- Must be able to interact with healthcare professionals
- Current unrestricted Arizona Driver’s license, reliable transportation and proof of insurance required
- Proficient in office equipment (computers, printers, etc) and MS Office programs (Word, Excel, PowerPoint and Access)
- Knowledge of HMO, PPO, Medicare Risk and Indemnity products preferred; Accuracy and detail orientation (written and verbal)
- Prior experience with provider networks and contracting with physicians
Benefits:
- Employer-paid Medical premiums at no cost to you
- Employer-paid Dental premiums at no cost to you
- Employer-paid Vision premiums at no cost to you
- Employer-paid Short-Term Disability premiums at no cost to you
- Employer-paid Life Insurance premiums at no cost to you
- Employer matching 401(k)
- 15 days annual combined sick/vacation and 9 days of holiday during your first year
- Your Birthday off!
Must complete our Culture Index Survey. Take the assessment at https://go.cultureindex.com/s/bg3VS0H2kF. This is not a pass/fail test and does not measure intelligence.
Arkos Health EEO Statement:
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
Arkos Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.
Arkos Health participates in E-Verify to confirm eligibility to work in the United States. To view the details on this program, visit our career page at Careers – Arkos Health
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