Provider Relations Billing & Education Field Representative
Location: Rio Grande Valley of Texas
Job Summary
As a Provider Relations Billing & Education Representative, you will serve as a crucial liaison between Medicaid Providers and the Managed Health Plan (MHP). You will work closely with internal and external stakeholders, including provider group associations and various organizations, to provide guidance, resolve issues, and ensure smooth communication regarding Medicaid programs and policies.
You will be responsible for assisting with provider enrollment, recruitment, and retention efforts while performing critical education and billing support. You will maintain a high level of professionalism, strong communication, and effective time management to ensure that all tasks and duties are completed on time and to the satisfaction of all parties.
Key Responsibilities
- Act as a liaison between Medicaid Providers and MHP, ensuring smooth communication and resolution of any issues
- Research, address, and resolve provider requests, questions, and concerns regarding Medicaid programs
- Provide clear and actionable resolutions, offering root cause analysis for provider inquiries
- Stay updated with MHP website education materials, basic portal knowledge, and problem-solving resources to support providers
- Educate providers on policies, procedures, and billing processes related to Medicaid
- Maintain a thorough understanding of Medicaid programs and regulations to ensure accurate and timely support for providers
- Utilize available resources to perform thorough research and assist providers with timely solutions
- Ensure all customer requests are handled effectively, maintaining high customer satisfaction
- Meet all contractual obligations while fostering positive interpersonal relationships with program participants
- Participate in scheduled meetings and events on time, managing time efficiently throughout the workday
- Communicate consistently with internal teams, external providers, associations, and stakeholders about Medicaid policies and processes
- Support ongoing efforts to improve the provider experience and resolve technology or process-related frustrations when necessary
- Complete tasks and assignments in a timely manner while maintaining professionalism and a strong work ethic
- Perform additional duties as assigned by management
Job Requirements
- Reliable transportation for travel within the assigned territory - Rio Grande Valley of Texas Counties ServedBrooks, Cameron, Duval, Hidalgo, Jim Hogg, Jim Wells, Kenedy, Kleberg, Starr, Webb, Willacy, Zapata