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    • Provider Relations Representative - South Burlington - Arkos Health

    Arkos Health
    Arkos Health South Burlington

    1 month ago

    Default job background
    Full time
    Description

    Job Description

    This is an in-office position with travel in the field to provider offices.

    Our organization provides value-based healthcare solutions for payors and providers by combining technology with in-home, virtual, and in-clinical care for patients.

    We are committed to delivering advanced and accessible community-based services allowing our clients to live healthier, more independent lives.

    As a Provider Relations Representative, you will be responsible for maintaining relationships with participating provider networks through telephonic, face-to-face, and written communication.

    The successful candidate will possess excellent relationship building skills, attention to detail, and a firm understanding of the healthcare delivery system.

    Key Responsibilities:

    • Develop and maintain provider relationships and serve as a primary resource for information and problem solving between the provider network and Arkos Health.
    • Maintain open lines of communication between Arkos and the provider network to address concerns, answer questions, and apprise offices of quality care metrics.
    • Ensure providers receive timely and accurate information regarding organization initiatives, services, programs, policies and procedures, and quality and productivity measurements.
    • Provide feedback based upon tracked metrics.
    • Coordinate, participate and attend provider programs sponsored by the organization.
    • Maintain a structured process for quality of audits, tracking and trending of provider metrics.
    • Investigate and resolve administrative issues and concerns between provider network and health plans.
    • Respond to incoming phone calls and emails promptly.

    Requirements:

    • Associates degree or relevant equivalent experience.
    • Preferred knowledge of CPT, ICD, HCPCS, HCC coding; training may be available for the right candidate.
    • Must be able to interact with healthcare professionals.
    • Current unrestricted Arizona Drivers license, reliable transportation and proof of insurance required.
    • Proficient in office equipment (computers, printers, etc) and MS Office programs (Word, Excel, PowerPoint and Access).
    • Knowledge of HMO, PPO, Medicare Risk and Indemnity products preferred; Accuracy and detail orientation (written and verbal).
    • Prior experience with provider networks and contracting with physicians.

    Benefits:

    • Employer-paid Medical premiums at no cost to you.
    • Employer-paid Dental premiums at no cost to you.
    • Employer-paid Vision premiums at no cost to you.
    • Employer-paid Short-Term Disability premiums at no cost to you.
    • Employer-paid Life Insurance premiums at no cost to you.
    • Employer matching 401(k).
    • 15 days annual combined sick/vacation and 9 days of holiday during your first year.
    • Your Birthday off.

    Estimated Salary: $60,000 - $80,000 per year

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