Provider Services Representative 2 - #19529480
This position functions as the liaison between HHP and the provider and their respective office staff. The incumbent is responsible for the timely and accurate investigation of provider concerns through open lines of communication. The incumbent is responsible for establishing and maintaining educational material/presentations in an effort to provide ongoing education to the providers and their staff regarding HHP's policies and procedures.
Nature and Scope
This position is challenged to keep the Customer Services Director and other appropriate management staff informed of opinions, viewpoints, and perceptions of HHP's provider community. The information gathered will be used in policy formulation and process improvement opportunities. This position is also challenged in being knowledgeable of benefit structures for all product lines as well as payment policies while maintaining good working relationships with our provider community.
Incumbent must show ability to gain additional educational, training and communication skills to educate and train providers and their staff. Ability to promote individual and team excellence with our provider community while maintaining confidentiality. Strong organizational skills to maintain efficiency in a busy environment. Working knowledge of health insurance and health maintenance organizations methods with the ability to prioritize projects.
This position does not provide patient care.
The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
Requirements - Required and/or Preferred
Must have working-level knowledge of the English language, including reading, writing and speaking English. Two-year college degree from an accredited college. This requirement can be substituted by two years of provider office or managed care experience in the health care industry.
Preference given to those applicants with three years experience in a position which involved extensive customer service and/or training skills. Working knowledge of managed care principles is preferred. Requires one-year computer experience with preference given to those applicants with Access, Excel and/or Word.
Computer / Typing:
Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Type 35 WPM.