Provider Services Specialist Job at Burnett Specialists
Provider Services Specialist
Burnett is so excited to be partnering with a booming healthcare organization in South Austin! Our client is a rapidly growing administration, management and marketing company offering support to non-profit trade associations. They are currently seeking a Provider Services Specialist to join their team supporting their Healthcare Sharing Ministry contact center.
Summary/Objective:
The Provider Services Team is dedicated to building relationships with providers and members. The team is dedicated to deploying innovative solutions along with proven methods to drive down the cost of medical needs. The Provider Services Specialist?s primary function is to protect the escrow account and work with providers and members to negotiate the costs of medical needs down to an acceptable and reasonable rate. The Provider Services Specialist is expected to stay involved in all aspects of networking, negotiating, and setting up direct agreements with providers, provider?s offices, and facilities/hospitals.
Essential Duties:
Contact member or parent/guardian of member and explain the negotiations process and answer questions
Evaluate information and select best plan of action to pursue an agreeable settlement
Contact the billing staff where services were rendered and pursue resolution on medical needs
Capture detailed notes and names with contact phone numbers on each call
Input member information and settlement/discount information into fillable negotiations forms
Maintain good communication with members, providers, and management during the negotiation process
Regularly follow up with provider to work towards a reasonable settlement
Contact Providers and facilities to recruit them into the Provider Community
Input and update provider and facility information in the Provider Community Platform
Send unresolved network issues or discount issues to management
Assist members with provider access as needed
Maintain knowledge and understanding of Health Share membership programs
Proficient and timely handling of negotiations cases according to current SLA and SOP
Case & program research of facility and self-pay information
Stay informed on all negotiations methods and utilize judgement to strategize and attain best possible outcome
Perform administrative duties such as filing and faxing paperwork, writing root cause analysis when necessary
Skills Required:
Critical thinking and problem-solving skills
Self-motivated, goal-oriented individual
Positive attitude and friendly demeanor
Excellent written, verbal, and interpersonal communication skills
Work independently and in a team environment
Strong computer skills and working knowledge of Microsoft Outlook
Proficient with Microsoft Office 365
Experience with Salesforce preferred
Professional with the ability to properly handle confidential information
Strong active listening and negotiations skills are required
Excellent writing and communication skills
Must be detail-oriented, and able to work in a fast-paced, dynamic environment
Ability to handle multiple tasks, and prioritize
Must be able to remain professional during situations of dispute or conflict
Escalate unresolved issues to the Management
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience:
Claims/Negotiations experience preferred
Customer service experience required
Healthcare experience preferred
Associates or higher degree preferred
Pay/Schedule/Location:
This is a contract-to-hire role.
Client site is located in South Austin, 78746, and is on site
Pay will be $17-$20/hr DOE
Hours are Monday - Friday, 8am-5pm
As a Burnett/Choice temporary or contract employee, you can benefit from Weekly Pay, Direct Pay Deposit, Global Card Paycard, Medical Indemnity Plan, Free Online Training, and Credit Union Membership (Houston, El Paso, Dallas, San Antonio). Plus, the ability to earn Service Bonuses, Holiday Pay, Referral Bonuses, and company ownership in our Employee Stock Ownership Plan.
#AUSTP30
Interested candidates please send resume in Word format Please reference job code 126516 when responding to this ad.
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