Provider Engagement Professional Jobs

Job Title: Provider Engagement Professional/Customer Support

Job location: Tampa, FL

Workplace type: Remote

Employment type: 12+ Months Contract

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The Provider Engagement Professional 1 - Network Development and Relations-Dental works directly with our Provider Network to develop and strengthen relationships. Educating our providers on the value of participating in the *** Dental Network and creating a mutual professional relationship with those providers, is key to the growth of the Network. The ability to create an "easy to do business with” environment for the providers is a key function of this role.

• Provide support with new product roll-outs and assist in re-contracting efforts
• Process terminations of providers
• Add/Term locations, associates and products to existing provider relationships
• Work with claims unit to identify and assist in claim resolutions for providers on all systems
• Work with existing offices to contract on the new service agreement
• Educate Provider Offices on all existing and new products and plans
• Work with Rental Partners to assure cost saving measures have been met.
• Provide support to Provider Offices on all maintenance and service issues
• Assist Provider Offices/Rental Partners with any contract issue.
• Work proactively with offices regarding fee schedule and financial incentive discussions.
• Assist with member/provider disputes and provide assistance to SIU and G&A
• Work with DSO & large group partners on credentialing and re-credentialing projects.

Additional :

• WORK STYLE: Mostly remote work, with minimal travel for meetings, conferences, and/or trainings
• WORK HOURS: Typical business hours (Monday-Friday, 8 hours/day, 5 days/week) in the employee's time zone, with some flexibility possible depending on business needs.
• Very rarely will before/after hours, nights, weekends, holidays, or overtime be offered and will not be required.

Required Qualifications:

• Excellent oral and written communication skills
• Desire to learn and advance
• Detailed oriented
• Experience within the dental field/industry (ie clinical experience, billing experience, front office/reception experience, sales/marketing experience, etc)
• Proactive thought leadership/Root Cause problem resolution skills
• Ability to multi-task, manage multiple projects, and meet deadlines

Preferred Qualifications:

• Customer Care/Service Experience
• Computer Proficiency and Experience: MTV, CRM, QicLink, Excel, Power BI and Outlook, DPNMS (new internal system)
• At least 3 years of experience in Health Care industry
• STRONGLY PREFERRED: Significant knowledge of ***'s Dental & Vision platforms
• Bachelor's Degree

Additional Information:

• Satellite and Wireless Internet service is NOT allowed for this role.
• WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
• Work at Home Requirements
• A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.