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Provider Outreach Specialist - National Remote
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Job Description
- Req#: 2283781
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $46.35 per hour
- Comprehensive benefits package including 401k contribution and equity stock purchase options
- Opportunity for career advancement and growth within the organization
- Work remotely from anywhere within the U.S.
- Supportive and collaborative work environment
- Chance to make a positive impact on healthcare quality and patient outcomes
What to Expect (Job Responsibilities):
- Conduct inbound and outbound calls to build positive relationships with physicians and medical groups
- Independently reach out to provider groups to discuss tools and programs aimed at improving care quality for Medicare Advantage, Medicaid, and ACA members
- Support Risk and Quality Client Programs by ensuring accurate delivery of data/forms to providers and training on portals
- Assist providers in understanding payment methodologies and the importance of proper chart documentation
- Deliver diagnosis coding tools and collaborate with various healthcare professionals on Risk Adjustment and Quality education efforts
What is Required (Qualifications):
- High School Diploma/GED (or higher) OR 2+ years of experience with Medicare Advantage, Medicaid, and ACA programs
- 1+ years of Provider Support experience in a high-volume environment (80-100 outreaches a week)
- 6+ months of experience with Medicare Advantage, Medicaid, or ACA programs
- 6+ months of experience working within a HIPAA environment
- Intermediate proficiency in MS Office (Excel, PowerPoint, Word)
How to Stand Out (Preferred Qualifications):
- 1+ years of experience with provider groups in an office environment or provider services
- Knowledge of HEDIS and Stars metrics
- Ability to work independently towards individual and team metrics
- Effective verbal communication skills with provider offices and personnel at all levels
- Strong organizational and prioritization skills
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