Norfolk, VA
Jan 19, 2018
Mar 05, 2018
Full Time
Job Description:

Optima Health Community Care is seeking a Provider Relations Representative to support our Addiction, Recovery and Treatment Services initiative as a part of our MLTSS team servicing our provider network in the Hampton Roads and/or North Carolina region .

The Provider Relations Representative is the primary point of contact to educate, support and partner with our valued behavioral health providers as a liaison for onboarding, training, claims support and multiple services related to developing and maintaining our provider relationships.

The ideal candidate will be:

* Customer-focused and customer-driven in all aspects
* Self-directing and self-organized
* High functioning with a high level of prioritization and decision making skills
* Detail oriented, responsive and thorough in all communication
* Pro-active with the ability to plan appropriately
* Multi-tasking and ability to handle various tasks at once
* Experienced in provider relations (field-based)

Selected candidate must have a permanent residency in the state of Virginia. This position is based in our Norfolk, VA office location where the selected candidate will work both onsite and the required: Minimum 50% of travel out in the field meeting with providers within the Hampton Roads and/or North Carolina region. This position reports to a Network Manager. Two weeks of mandatory training is required.

Responsible for developing and maintaining positive relationships with providers. Duties include, but are not limited to; periodic on-site visits, conducting provider seminars, communicating administrative changes, and facilitating resolution of non-routine claim issues and other billing questions. Coordinates and conducts provider training and develops and distributes provider network materials. Acts as a liaison between internal departments of Optima Health and the provider community

Education Level
High School Grad or Equivalent

Required: Health Insurance Plans - 3 years, Healthcare - 3 years

Preferred: None, unless noted in the “Other” section below

None, unless noted in the “Other” section below

Required: Microsoft Excel, Microsoft PowerPoint, Microsoft Word

Preferred: None, unless noted in the “Other” section below

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