Provider Support Specialist Jobs

Make template/schedule changes pending managerial approval.

Manage urgent clinic and appointment scheduling

Manage patient rescheduling in cases of provider emergency and/or absences

Receive medical records from home physicians and deliver to HIM or scan to HIM and S drive

Correspondence, credentialing, licensing and certification, reference materials, publications, professional memberships, and renewal of licenses/DEA/privileges

High school diploma or equivalent education required.

Education can substitute for experience.

Job duties include the following:

Experience in a related field is preferred.

Participates in meetings related to care coordination; completes documentation for direct services provided to ensure timely and accurate completion.

Transports individuals receiving services to appointments, activities, and/or work.

NEW starting wage effective 4-30-23 of $19.61/hr!!

Verify potential and existing provider’s licensure, NPI, insurance, CDS, DEA certificate, education, hospital privileges, board certification.

Monitors and reports provider complaints and utilization management reports.

Assist management in the implementation of department process improvements.

Assist with the ongoing NCQA certification activities.

1 year job related experience

Previous experience working with files or the collection and coordination of data preferred.

Experience with credentialing or healthcare operations, and/or knowledge of HIPAA, NCQA, or URAC is a plus.

Demonstrate strong telephone communication and etiquette skills.

Must be detail-oriented and have critical thinking skills.

Must have excellent listening skills and the ability to ask probing questions, understand concerns, and overcome objections.

Strong work ethic and self-starter, able to effectively manage multiple priorities and adapt to change within a fast-paced environment.

Demonstrate strong influencing and closing skills.

Coordinate and manage outgoing provider communication and education/compliance for functions/actions related to regulatory requirements.

Collaborate with management to manage inventory and create the daily team strategy to meet service levels.

Identify opportunities for improvement regarding workflow, procedures or policies and make recommendations to management.

Research and identify trends to identify defects and root cause to propose solutions to management.

Experience or knowledge of credentialing, contracts, and regulatory standards.

Experience working with provider related data and functions.

Data entry / Database experience a plus

Effective communication skills, both written and verbal

Free medical, dental, and vision

Updating patient lists and records, including psychiatric medications

Answering phone calls and taking messages

Replying to and sending emails

Develop, enhance, and coordinate relationships with families.

Provide advocacy for children and families.

Act as liaison between children and families and the local Community Team.

Coordinate community organization at local Systems of Care sites.

Participate in advocacy to various statewide organizations and state government entities.

May participate on State Systems of Care Team

Provide management support and oversight of the unit’s operational responsibilities, including, but not limited, to the following responsibilities:

Provide general management of direct reports and front line employees, which includes, but is not limited to:

Work collaboratively with employees throughout the agency, including but not limited to division management, business analysts, and IT professionals

Multi-task and prioritize responsibilities and work flow of self and team members to meet strict deadlines

Create, define and understand technical and functional business requirements

Lead, facilitate, host and manage meetings and conferences

2 years of experience in business environment.

Excellent verbal and written communication skills.

Proficiency in the use of Cactus credentialing software preferred.

High School diploma or equivalent

Proficient in the use of Excel.

Proficient in general computer software (Word, Outlook, PowerPoint).

Education can substitute for experience.

Organizes and participates in meetings related to care coordination; completes documentation for direct services provided to ensure timely and accurate completion.

Transports individuals receiving services to appointments, activities, and/or work.

Part-time (PRN) Peer Support Specialist

Hours will vary based on client need up to 16 hrs/week.

This posting will remain open until it is filled.

May manage the patient outcome tool, including preparation and distribution.

Organizes and maintains department records, manuals and patient education materials.

Participates in completion of patient data reporting requirements and compliance with regulatory standards.

Post secondary education in medical field preferred

Schedules and/or reschedules patient appointments, procedures, diagnostic tests, surgeries, hospital admissions and other related appointments between multiple providers.

May enter all scheduling documentation in the electronic medical record.

Experience entering data with a high level of accuracy into databases/spreadsheets such as Microsoft Access.

Skilled at researching, analyzing, and interpreting data accurately with strong attention to detail.

Validate incoming forms for required specifications

Enter daily activity for required forms in the approval database

Print and distributing incoming forms for review

Deliver/pick up forms to other internal work groups

Support and comply with the company’s Quality Management System policies and procedures.

Develops the customer service and professional skills of team members to increase their value-add to the team and organization.

Manages and resolves customer complaints, identifies, and escalate priority issues while working collaboratively on the corrective action

Identifies and shares best practices and drives for continuous improvement of the customer experience.

Supervise staff including but not limited to organize and prioritize work, write/conduct performance reviews, train/develop, and manage work performance.

Excellent verbal and written English communication skills.

Education can substitute for experience.

Experience working with adolescents in a behavioral health setting is preferred.

Organizes and participates in meetings related to care coordination; completes documentation for direct services provided to ensure timely and accurate completion.

Transports individuals receiving services to appointments, activities, and/or work.

NEW starting wage effective 4-30-23 of $19.61/hr!!

Job will remain posted until filled.

Verify potential and existing provider’s licensure, NPI, insurance, CDS, DEA certificate, education, hospital privileges, board certification.

Monitors and reports provider complaints and utilization management reports.

Assist management in the implementation of department process improvements.

Assist with the ongoing NCQA certification activities.

1 year job related experience

Previous experience working with files or the collection and coordination of data preferred.

3-5 years related customer service experience required preferably in a medical office or healthcare environment

Excellent communication skills, including written and verbal, bilingual a plus

The opportunity to make life better for millions of people

An environment of positive and super smart colleagues

Turning innovative ideas into real-world results

Balancing extraordinary work with your personal life