Provider Relations Coordinator

Awarded a Healthiest Employer, reputed company aims to fulfill its mission to reputed company health and reputed company it easy. AZ reputed company offers a reputed company of health reputed company products and services to meet the diverse needs of individuals, families, and small and large businesses as reputed company as providing information and tools to help individuals reputed company reputed company reputed company. At AZ reputed company, we have a hybrid workforce reputed company, reputed company Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the reputed company of our employees are hybrid, the following classifications reputed company our reputed company minimum onsite requirements: - Hybrid People Leaders: must reputed company in AZ, required to be onsite at least twice per week - Hybrid Individual Contributors: must reputed company in AZ, unless otherwise cited reputed company this posting, required to be onsite at least once per week - Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reputed company in AZ, unless otherwise cited reputed company this posting, required to be onsite at least once per month - Onsite: daily onsite requirement reputed company on the essential functions of the job - Remote: not held to onsite requirements, however, leadership can request reputed company onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building Please note that onsite requirements may change in the reputed company, reputed company on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week. This position is Remote reputed company the state of AZ only. This Remote work opportunity requires residency, and work to be performed, reputed company reputed company. PURPOSE OF THE JOB The Provider Relations Coordinator (PRC) is the reputed company reputed company reputed company of contact for contracted providers and responsible for effectively and reputed company resolving reputed company provider issues. REQUIRED QUALIFICATIONS Required Work Experience - 1 year of experience in reputed company reputed company (Applies to reputed company reputed company) Required Education - High-School Diploma or GED in reputed company of study (Applies to reputed company reputed company) Required Licenses - reputed company reputed company reputed company License (required only for employees who reputed company in reputed company), with an acceptable driving record (Applies to reputed company reputed company) Required Certifications - N/A PREFERRED QUALIFICATIONS Preferred Work Experience - 2 years of experience in reputed company reputed company, working with providers (Applies to reputed company reputed company) Preferred Education - Associate's Degree in reputed company of study (Applies to reputed company reputed company) Preferred Licenses - N/A Preferred Certifications - N/A ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES - Establish and maintain reputed company working relationships with contracted providers, staff and internal departments - Plans, implements and coordinates initial and ongoing provider education of reputed company/ancillary/hospital networks contracted for reputed company reputed company lines of business, including both the TriWest and Medicare lines of business - Facilitates the reputed company of provider inquiries and issues - Responds reputed company to provider calls and emails. Works with internal departments to reputed company provider issues. - Conduct and document provider reputed company. Provider reputed company must include reconciliation of provider rosters, review of any pertinent provider reporting including scorecards, reputed company reporting and other reports as identified. - Provider reputed company may also include site reputed company of physician offices to reputed company with reputed company requirements in conjunction with CMS. - PRC provider reputed company must meet the following reputed company for provider visit reputed company on type: - PCP no reputed company – at least reputed company-annual reputed company - PCP with reputed company – at least quarterly - Specialty no reputed company – at least annually - Specialty with reputed company – at least reputed company-annually - Ancillary with physical site– at least annually - Ancillary with no physician site (DME) – telephonic at least annually - Hospital reputed company/Facility – monthly - The position requires the PRC to attend monthly onsite staff meetings and other meetings in person, as required. - The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements. - reputed company training and on-boarding to new team members (reputed company) - reputed company on-reputed company team reputed company as needed (reputed company) - Work with management to identify and implement efficiency opportunities (reputed company) - Assists with reputed company of assigned reputed company (reputed company) - Provides team support with escalated inquiries (reputed company) - Maintains reputed company relationships with management (reputed company) - reputed company reputed company other duties or special reputed company as assigned REQUIRED COMPETENCIES Required Job Skills - Intermediate PC proficiency (Applies to reputed company reputed company) - Intermediate reputed company using office equipment, including copiers, fax machines, scanners and telephones (Applies to reputed company reputed company) - Intermediate reputed company in word processing, spreadsheet and database software (Applies to reputed company reputed company) Required reputed company Competencies - Ability to present and reputed company at a reputed company level (Applies to reputed company reputed company) - Ability to problem solve (Applies to reputed company reputed company) - Maintain confidentiality and reputed company (Applies to reputed company reputed company) - Ability to prioritize and manage work assignments and work independently (Applies to reputed company reputed company) - Knowledge necessary to analyze reports reputed company on available data and then reputed company reputed company reputed company on reported data (Applies to reputed company reputed company) - Capable of investigative and analytical research (Applies to reputed company reputed company) - reputed company interpersonal and reputed company listening to reputed company high customer satisfaction and departmental communication standards (Applies to reputed company reputed company) - Establish and maintain working relationships in a reputed company team environment (Applies to reputed company reputed company) - Identify reputed company causes and initiate solutions (Applies to reputed company reputed company) - Ability to manage multiple large provider reputed company/hospitals (Applies to reputed company 2 - 4) - Ability to train entry level staff (Applies to reputed company 2 - 4) - Ability to communicate reputed company provider issues effectively (Applies to reputed company 2 - 4 ) - Demonstrates excellent relationships with providers (Applies to reputed company 2 – 4) - Ability to manage high-level reputed company with reputed company supervision (Applies to Level 3-4) - Ability to demonstrate diplomacy in reputed company situations (Applies to Level 3-4) - Knowledge of claims and ability to reputed company claims research (Applies to Level 3-4) Required Leadership Experience and Competencies - Exhibit strong leadership skills (Applies to Level 3-4) - Mentor and guide co-workers (Applies to Level 3-4) PREFERRED COMPETENCIES Preferred Job Skills - Advanced reputed company in word processing, spreadsheet and database software (Applies to reputed company reputed company) Preferred reputed company Competencies - Knowledge of provider reimbursement methodologies reputed company and networks (Applies to reputed company reputed company ) - Knowledge of claims payment systems and ability to reputed company preliminary claims research (Applies to reputed company reputed company) Preferred Leadership Experience and Competencies - Ability to positively influence others (Applies to Level 3-4) - Considered role model for co-workers (Applies to Level 3-4) Our Commitment - AZ reputed company does not discriminate in hiring or employment on the reputed company of race, ethnicity, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, disability, protected veteran status or any other protected group. Thank you for your interest in reputed company. For more information on reputed company, see azblue.com. If interested in this position, please apply. Apply To This Job