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Government Programs Provider Representative
3 months ago
As an integral part of our team, you will be responsible for institutional provider contracting, education, and services for various government programs in Kansas and Missouri. This includes working with hospitals, home health services, dialysis centers, and ambulatory surgery facilities that are part of the government program networks.
In this role, you will supervise provider financial and coding audits on-site, assist in obtaining and negotiating contracts from providers, and play a key role in ensuring all providers are informed and supported.
Join Us for Exciting Opportunities
Why Choose Us?
- Work-Life Balance: We value our employees' well-being and offer a total rewards package that prioritizes family.
- Team Collaboration: Join a dynamic team of dedicated individuals who are passionate about their work.
- Trust and Stability: With 80 years of commitment and service, we are a trusted name in Kansas.
- Diversity and Inclusion: We create an inclusive work environment where everyone is respected and valued.
$80,000 per year
This is a great opportunity to work in a hybrid setting and be part of a company that values its employees' well-being. Applicants must be located in Kansas or Missouri or be open to relocating for this role.
Your Responsibilities
- Provide education, training, and audit activities for institutional providers in government programs.
- Ensure providers are well-informed about all programs offered by our company.
- Assist providers with contract requirements and claims submission.
- Lead educational seminars and conduct necessary audits.
- Evaluate and process redetermination requests from providers.
- Maintain relationships with institutional provider administrators and participate in team meetings to address challenges.
- This role involves approximately 45% travel and 45% overnight stays annually.
- Bachelor's Degree in Business, Accounting, Marketing, or Hospital Administration/Health Economics preferred. Relevant experience can be considered in lieu of a degree.
- Valid driver's license is a must.
- Strong knowledge of procedural and diagnostic coding. Certification by the American Academy of Procedural Coders is a plus.
- Background in hospital administration is beneficial.
- Familiarity with institutional provider claim billing procedures for TriWest and Medicare Advantage is advantageous.
- Experience in negotiating and analyzing contract language is a bonus.
- In addition to competitive base compensation, we offer a comprehensive Total Rewards package that includes:
- Incentive pay program (EPIP)
- Health, Vision, and Dental insurance
- Paid parental leave, caregiver leave, and other family-friendly benefits
- 401(k) plan matching, tuition reimbursement, and health & fitness benefits
June 23, 2024
Pay Rate
Salary
