Provider Relations Representative - Montgomery, AL (Onsite)

Gainwell Technologies LLC • Montgomery, AL

2d • $38,600 - $55,100 • Onsite

About The Position

As a Provider Relations Representative - Montgomery, AL (Onsite) at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Requirements

• High School diploma required, college degree preferred
• Excellent written and verbal communication skills with the ability to present information in a clear, concise manner
• Proficient in Microsoft Office Programs
• Excellent customer service skills with the ability to memorize and retain information

Nice To Haves

• Medical background, claims experience and/or experience with Alabama Medicaid is highly desirable

Responsibilities

• The Provider Relations Representative acts as a liaison between the Medicaid Agency and the provider community.
• Plans and conducts provider educational workshops for all provider types.
• Conducts individual on-site visits to providers.
• Installs and troubleshoots Provider Electronic Solutions (PES) software and educate the provider community on the advantages of electronic filing, also trains on Medicaid’s Interactive Web Portal.
• Trains Account and Medicaid staff on new program changes.
• Responds to written inquiries from the agency and provider community in a prompt, professional manner.
• Completes the necessary hours to meet all deadlines and objectives.
• Assists with other accounts within the department as needed.
• Analyzes, reports, and identifies all trends which could lead to billing problems.

Benefits

• Health benefits (medical, dental, and vision) begin on Day 1 of employment.
• 401(k) with company match and additional benefits become available within the first few months.
• Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before the employee's start date at Gainwell.
• Career growth and advancement opportunities are encouraged and supported.
• A company-provided computer is supplied for work use.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED