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Job details
 
Company: Advanced Behavioral Health
Job Title: Provider Relations Representative
Job Category: NON PROFIT
Job Reference: ABH-AJ-PRR
Job description:  
POSITION SUMMARY:

The Provider Relations Representative supports the credentialing and provider relations services for the Behavioral Health Home Program. The Provider Relations Representative works collaboratively with providers and fosters a positive perception of the contract among providers. This position will represent ABH and its services in a positive and professional manner and adhere to ABH’s best practices, guidelines, policies and procedures as established, promoting ABH as a leader in behavioral healthcare in all interactions and work.

DUTIES AND RESPONSIBILITIES:

 Communicates with all providers in a professional and respectful manner, promoting positive provider practices through communication and mutual education;
 Provides administrative services of provider contract in the most efficient manner possible in an effort to reduce administrative burden on providers;
 Provides support/service to providers including orientation and education of providers and staff and incorporating contract policies and procedures;
 Acts as liaison with other departments in the company regarding provider issues;
 Assists in the research of information regarding provider issues/operations;
 Tracks and manages all inquiries, complaints and/or grievances consistent with ABH Policy, including notification of the BHHP Program Manager;
 Assists in Provider Orientation Sessions and ongoing technical assistance visits as determined by the BHHP Program Manager;
 Assist the BHHP Program Manager in monitoring provider performance
 Proactively identifies opportunities to improve the provider's understanding of proper billing and posting procedures;
 Assists in provider credentialing/re-credentialing processes, including but not limited to preparation and mailing/emailing of credentialing documents, review of returned documents, performance of primary source verification, and documentation of credentialing information in the electronic data systems;
 Maintains confidentiality of all client protected health information and adheres to all HIPAA related policies and procedures;
 Performs other tasks/responsibilities as required to support the business operations;
 Demonstrates ethical behavior and cultural sensitivity in all activities involving individuals of diverse background.


If your qualifications match these job requirements and you are interested in pursuing this potential position and joining a dynamic company, please apply on-line at www.abhct.com. include resume, letter of interest and salary requirements/range.

ABH® is an Equal Opportunity Employer



Skills:  
EDUCATION AND EXPERIENCE REQUIREMENTS:

 Associate’s Degree required;
 Bachelor's degree in Health Sciences or related field preferred;
 Minimum of two years provider relations experience in health insurance industry, preferably behavioral health;
 Attends annual conflict of interest training.

KNOWLEDGE/SKILLS/ABILITIES:

 The ability to work independently, flexible in order to respond quickly and positively to shifting demands;
 Demonstrates exceptional interpersonal skills in order to positively communicate with providers and staff;
 Occasional travel required;
 Strong attention to detail; ability to work on multiple tasks and meet deadlines;
 Excellent PC skills with demonstrated experience using Microsoft Office Package (MS Word, Excel, Power Point, Access, Outlook); internet
 Strong written and verbal communication skills required.
Employment type:
  • Full Time
Salary Range: Unspecified
 
Other Information
 
Degree: Associate
Experience (year): 2
Job Location: Middletown - Connecticut - USA
Zipcode: 06457
 
Post Date: 06/28/2018
 
Contact Information
 
Company: Advanced Behavioral Health
Contact Name: Advanced Behavioral Health
Contact Fax: You must first register to view this information.
 
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