Provider Relations Representative - Long Term Care
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In today's business environment, growth isn't just about building value-it's fundamental to long-term business survival. So how do organizations sustain themselves? The key is a new operating model-one that's anchored around the customer and propelled by intelligence to deliver exceptional experiences across the enterprise at speed and at scale. You will deliver breakthrough business outcomes for clients-by harnessing talent, data and intelligence to revolutionize their operating models. Operations is one of four services that make up one Accenture -the others are Strategy and Consulting, Interactive and Technology.
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Key Responsibilities are as follows:
- Maintain a working knowledge of Long Term Care Medicaid program and policy, online provider resources, internal processes and technological applications.
- Provide on demand education regarding policy procedural information to the provider community as well as internal external stakeholders.
- Coordinate and conduct trainings for newly enrolled and established providers.
- Researching provider claims and Long Term Care Medicaid policy.
- Documentation of all provider external stakeholder communications.
- Independent management of provider issues by utilizing internal job aids and resources.
- Meet all contractual obligations while establishing and maintaining positive interpersonal relations among stakeholders.
- Develop interpersonal relationships with peers and workgroups while working remotely.
- Participate in team training and workgroups in addition to individual responsibilities.
- Must reside within the state of Texas
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Qualifications
Basic Qualifications
- Minimum of 3 years of work experience in healthcare.
- Bachelor's degree
- Working knowledge of Long Term Care Medicaid, Medicaid manage care, and or commercial health plan managed care.
- Billing knowledge in a Hospital setting.
- Ability to self monitor.
- Project management experience.
- Proficiency in Microsoft Office.
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