Field Representative & Trainer

Acentra Health, LLC•UNAVAILABLE, Wyoming

12d•Hybrid

About The Position

Acentra seeks a Field Representative & Trainer to join our growing team. The Field Representative & Trainer plays a pivotal role in fostering positive provider relations and elevating the customer service experience. In addition, you will serve as the key conduit for provider education coordination, driving quality improvement initiatives, and ensuring a thorough understanding of Medicaid policies. You will be working with providers and networks using knowledge of Medicaid rules and regulations and will be responsible for onsite visits and provider education through specialized training, conducting in person workshops, and webinars. This position is hybrid within the State of Wyoming, combining remote work with field-based responsibilities. Candidates should preferably reside in or near Natrona County (Casper), Campbell County (Gillette), Sheridan County (Sheridan), Park County (Cody or Powell), or Fremont County (Riverton or Lander) to support field coverage needs. At this time, we are not considering candidates located in Laramie, Albany, Platte, Goshen, or Sweetwater counties.

Requirements

Requires a high school diploma or equivalent
Minimum of 3 years of experience in provider relations/education or customer service
Prior experience working in the healthcare industry such as working with provider networks, insurance or healthcare rules and regulations
Proficient in creating and delivering educational training courses
Strong organizational and time management skills, with the ability to work independently, prioritize tasks, manage workload, and meet tight deadlines in a fast-paced environment
Must have reliable transportation for field work

Nice To Haves

Bachelor’s degree in communication, education, or related business field
Comfortable with and be skilled in public speaking, training, and presenting in front of an audience
Computer literate using standard tools (Microsoft Word, Excel, PowerPoint, Adobe, and Outlook) and inquiry through web portal applications
Bilingual in Spanish

Responsibilities

Provide courteous and efficient service to providers and external customers, swiftly resolving provider issues through comprehensive education and utilization of relevant resources
Provide support to staff and providers for issues requiring extensive research and resolution skills
Conduct provider education to promote provider claims correction on their first response rather than stopping after each error and requiring the provider to resubmit multiple times for each claim
Work with provider networks through your knowledge of Medicaid rules and regulations
Support Medicaid providers, assisting them with resolution of billing issues, policy questions and other issues relevant to the program
Work with other team members and stakeholders to identify, document, track and ensure resolution of provider questions and issues from initial request to final resolution
Identify areas for improvement and make formal recommendations for Provider communication and/or training to improve providers’ Medicaid experience
Deliver in-person training to providers across Wyoming using in-person, instructor- led training seminars, and on-site provider visits
Collaborate with cross-functional teams to address provider inquiries and maintain service quality in alignment with contract requirements
Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules