Provider Relations Specialist

Conduent State Healthcare, LLCBaton Rouge, LA
2d$18Onsite

About The Position

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day. Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day. Provider Relations Specialist Location: on-site in Baton Rouge, LA Salary: $17.68/hr. plus benefits Schedule: 8:00 am - 5:00 pm, Monday – Friday Would you like to be a part of a team that plays a vital role in supporting our Automotive clients lease exchange program? About the Quality Assurance Associate role: The individual who fills this position will be responsible for providing assistance about Long Term Personal Care Services (LT-PCS) program and it requirements with providers. Assisting and answering emails from the providers email box daily. Investigating and issuing Prior Authorization as needed. Reviewing and solving complaints from recipients. Helping the recipient with “Good Cause” providers changes so there is no lapse in services. The best candidate for this role will be someone who can multi-task through multiple windows and has experience working tight deadlines.

Requirements

  • High school diploma or GED equivalent
  • Experience working with Medicaid
  • 1 plus years Customer Service experience in an office environment
  • Proficiency in Microsoft Office, including Excel, Outlook, and Word
  • Exceptional attention to detail
  • Strong analytical and problem-solving skills
  • Effective time management abilities
  • Excellent communication skills
  • Capability to handle multiple tasks simultaneously

Nice To Haves

  • Successful candidates will have the following skills:

Responsibilities

  • providing assistance about Long Term Personal Care Services (LT-PCS) program and it requirements with providers
  • Assisting and answering emails from the providers email box daily
  • Investigating and issuing Prior Authorization as needed
  • Reviewing and solving complaints from recipients
  • Helping the recipient with “Good Cause” providers changes so there is no lapse in services

Benefits

  • Paid Training
  • Medical, dental and vision benefits
  • 401K and matching
  • Employee discount program
  • Career growth opportunities
  • Positive employee friendly culture
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