Provider Relations Billing & Education Field Representative

Accenture•Austin, TX

1d•$22 - $63•Onsite

About The Position

As a Provider Relations Billing & Education Representative, you will serve as a crucial liaison between Medicaid Providers and the Managed Health Plan (MHP). You will work closely with internal and external stakeholders, including provider group associations and various organizations, to provide guidance, resolve issues, and ensure smooth communication regarding Medicaid programs and policies. You will be responsible for assisting with provider enrollment, recruitment, and retention efforts while performing critical education and billing support. You will maintain a high level of professionalism, strong communication, and effective time management to ensure that all tasks and duties are completed on time and to the satisfaction of all parties.

Requirements

Reliable transportation for travel within the assigned territory - Rio Grande Valley of Texas Counties ServedBrooks, Cameron, Duval, Hidalgo, Jim Hogg, Jim Wells, Kenedy, Kleberg, Starr, Webb, Willacy, Zapata
Minimum of 3 years of healthcare adminstration experience
Minimum of 1 year of experience in Medicaid, Medicaid Managed Care, and/or Health Plan Managed Care

Nice To Haves

Strong working knowledge of Medicaid Managed Care or commercial health plan managed care
Experience with billing in a hospital or healthcare setting
Project management experience is a plus
Proficiency in Microsoft Office, especially Word, Excel, and PowerPoint
Bachelor's degree in a related field

Responsibilities

Act as a liaison between Medicaid Providers and MHP, ensuring smooth communication and resolution of any issues
Research, address, and resolve provider requests, questions, and concerns regarding Medicaid programs
Provide clear and actionable resolutions, offering root cause analysis for provider inquiries
Stay updated with MHP website education materials, basic portal knowledge, and problem-solving resources to support providers
Educate providers on policies, procedures, and billing processes related to Medicaid
Maintain a thorough understanding of Medicaid programs and regulations to ensure accurate and timely support for providers
Utilize available resources to perform thorough research and assist providers with timely solutions
Ensure all customer requests are handled effectively, maintaining high customer satisfaction
Meet all contractual obligations while fostering positive interpersonal relationships with program participants
Participate in scheduled meetings and events on time, managing time efficiently throughout the workday
Communicate consistently with internal teams, external providers, associations, and stakeholders about Medicaid policies and processes
Support ongoing efforts to improve the provider experience and resolve technology or process-related frustrations when necessary
Complete tasks and assignments in a timely manner while maintaining professionalism and a strong work ethic
Perform additional duties as assigned by management