Provider Relations and Billing Specialist
About The Position
The MYgroup Provider Relations and Billing Specialist works closely with the Provider Relations Manager and the CFO by processing billing from MYgroup affiliate providers. The MYgroup Provider Relations and Billing Specialist is responsible for maintaining regular communication with affiliate providers regarding various issues (e.g., referral portal, billing, and recredentialing). The MYgroup Provider Relations and Billing Specialist assists with managing the day-to-day front office operations, scheduling clients, and responding to requests for mental health services in a caring and HIPAA-compliant manner. The MYgroup Provider Relations and Billing Specialist handles frequent interruptions and pivots rapidly between multiple tasks. The MYgroup Provider Relations and Billing Specialist works well under pressure, maintains professional courtesy, de-escalates tension, and follows policy while using creativity to solve problems in the moment.
Requirements
- High School Diploma or equivalent
- At least 2 years of experience in customer service activities, such as, but not limited to, answering phones, transferring calls, taking messages, and phone-based customer service
- Office management skills, such as, but not limited to, organizing client data, filing client information, providing excellent communication, and developing efficient and effective processes (e.g., data entry and interpretation, client file management)
- Working knowledge of Microsoft Office and ability to learn EAP software
- Professional phone presentation
- Professional email communication
- Self-motivated and effective use of time management
- Comfortable working with a team
- Possess high emotional intelligence to sense the needs of clients and clinicians
- Strong communications, interpersonal and negotiating skills
- Knowledgeable about HIPAA and mental health services
- Demonstrates flexibility as processes change to accommodate the needs of clients and staff
- Proficient with Microsoft Office Suite and Adobe Acrobat Pro
Nice To Haves
- Knowledgeable about or highly familiar with HIPAA and mental health services
- Relevant experience in mental health practice or medical office setting encouraged
- Comfortable working with a team
- Able to multi-task and stay organized under stressful situations
- Possess high emotional intelligence to sense the needs of clients and clinicians
- Demonstrate flexibility as processes change to accommodate the needs of clients and staff
Responsibilities
- Support the daily operations of MYgroup provider relations and billing departments (e.g., processing reimbursement request)
- Assists with providing front desk coverage on multi-line telephone console: transferring calls, taking messages, scheduling clients
- Establish and maintain relationships with prospective and existing clients and providers
- Support clinical operations (e.g., file organization, manage supplies)
- Assist with data entry upon request for different departments within MYgroup
- Deliver professional customer service in person, over the phone, and via email
- Comply with HIPAA procedures
- Support the daily operations of MYgroup
- Perform other duties as required.
Benefits
- 401K retirement plan with matching contributions
- Discounts on products and services
- Paid time off for holidays, vacation, and sick leave
- Employee Assistance Program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
