Client Relations Specialist, Payer Enrollment
Qualifications
Job Title: Client Relations Specialist
Department: Client Relations
Supervisor: Client Relations Director
FLSA Classification: Non-Exempt
In the role of Client Relations Specialist, you will be part of a team of dynamic staff at PMG Credentialing, Inc., a company dedicated to the successful Provider Enrollment and Credentialing of Federally Qualified Health Center’s (FQHC’s). The Client Relations Specialist is a key member of the client relations team supporting new location, enrollment applications, deactivations, and communicates with inside parties and external vendors to gather information and present solutions. This position requires strong communication skills, attention to detail, ability to multi-task, positive professional attitude, and ability to work in a fast-paced environment.
Essential Duties & Responsibilities:
- Partnering with Client Relations Directors/Managers (CRD/CRM) to obtain temporary/permanent region assignment for overflow tasks.
- Meeting with CRD/CRMs to understand current status of clients and routinely meets with respective staff to execute solutions.
- Engaging with CRMs to understand root causes and partners with the CRD/VP CR for next steps, if necessary.
- Training and mentoring staff, as appropriate.
- Processing overflow/priority provider and location enrollment applications, payer deactivations (terminated providers), etc.
- Identifying areas of improvement from an operations perspective.
- Processing all provider Medicaid applications and revalidations.
- Attesting to all directories and updating Licensures with Medicaid where applicable.
- Updating CAQH with updated licenses, Medicare, and Medicaid numbers.
- Managing follow-up assigned to an escalation task.
- Other duties, as assigned.
Supervisory Responsibilities:
- The Client Relations Specialist receives very general guidance with respect to overall objectives; work is usually quite hands on with others; operating within division or department policy guidelines using independent judgment in achieving assigned objectives.
- The Client Relations Specialist is supervised by and reports to the Director of Client Relations.
Other Duties and Responsibilities:
- Participating in proactive team efforts to achieve departmental and company goals.
- Exhibiting professionalism both internally and externally on all communication.
- Performing other duties as assigned.
Summary of Qualifications:
Education and Experience:
4+ years of Enrollment Experience required, preferably in a FQHC/CVO setting.
Specialized Knowledge/Skills:
- Must be able to define problems, collect data, establish facts, and draw valid conclusions; interpreting an extensive variety of technical instructions with several abstract and concrete variables.
- Skilled to prioritize and organize assignments; handle multiple, simultaneous, competing projects.
- Outstanding problem-solving skills.
- Proficient computer skills including electronic mail, record keeping, routine database activity, word processing, spreadsheet, graphics, etc.
- Capable of dealing with frequent interruptions.
- A professional attitude and a desire to succeed.
Physical Requirements:
Necessitates fine motor skills; occasionally requiring pushing, pulling, lifting and carrying up to 15 lbs. Must be able to use a computer, including keyboard and telephone, during peak activity periods, in excess of 8 hours per day and/or 40 hours per week. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.
It is the policy of PMG to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, PMG wil
4+ years enrollment experience required, preferably in FQHC/CVO setting; strong communication, problem-solving, and computer skills; ability to lift up to 15 lbs and work on computer over 8 hours daily.
Key Responsibilities
- processing enrollment applications
- managing payer deactivations
- updating provider directories
Skills & Tools
electronic mail, database, word processing, spreadsheet
Job Details
- Category: Customer Service
- Seniority: Mid Level
- Commitment: Full Time
- Workplace: Remote — Pawtucket or United States
- Languages: English
About PRIORITY MANAGEMENT GROUP INC
A company dedicated to provider enrollment and credentialing for Federally Qualified Health Centers. — Industry: Healthcare