Provider Relations Specialist

3 months ago

Peoria, United States Samaritan Ministries International Full time
Provider Relations Specialist
About Company

Samaritan Ministries is a Biblical solution to health care. It is not insurance. We deliver authentic, compassionate, and personal service in the name of Christ to enable and inspire members to provide for one another's medical needs through prayer, encouragement, and financial support.

From demonstrating Christ-centered compassion to modeling best practices in health care sharing, Samaritan Ministries is committed to keeping Jesus at the center of everything we do. The way we interact with our colleagues and engage with our members is a testament that we are ultimately serving Christ and His Kingdom.

Summary

To serve the members of Samaritan Ministries International (SMI) by performing duties acting as a liaison between members of Samaritan Ministries and healthcare providers, including negotiating prices, investigating and resolving provider related issues, building relationships with providers, and gathering information on need issues from providers when direct contact is required. In addition, PR Specialists assist members in making cost effective and fair priced medical provider choices, and help ensure that member shares are used exclusively for appropriate shareable medical expenses.
Competencies

  • Planning and Organizing
  • Fostering Communication
  • Processing and Recording Financial Transactions
  • Attention to Detail
  • Digital Literacy
  • Managing Resources
  • Acting with Integrity, Empathy, and Compassion
  • Collaborating with Others
  • Neighbor Focus
  • Pursuing Excellence
  • Negotiating
  • Problem Solving
Key Responsibilities
  • Negotiate fair prices with providers on behalf of Samaritan members
  • Educate providers on Samaritan Ministries to get service for members
  • Work as a liaison for SMI by conducting need/bill reviews, and data gathering
  • Graciously investigate situations where a member may have misused funds and, when applicable, work with the member to recover the funds
  • Serve as the initial contact for potential agreements with provider
  • Be available for providers who wish to speak with SMI about questions or concerns that they have
  • Initiate payment plans for members when necessary to repay the Membership
  • Work through concerning billing situations for the purpose of assisting in members' payment of bills to their provider
  • Correspond through phone and email in a professional, friendly, and knowledgeable manner with health care providers and SMI members.
  • Maintain current knowledge of SMI sharing programs, products, program guidelines, and processes.
  • Assist and /or lead special projects to improve team processes that ensures thoughtful and efficient growth to cultivate a better member experience and savings for the ministry.
  • Provide Christ-centered encouragement and grace filled counsel to members and providers.
  • Coordinate member and ministry business and workflows with various third party vendors utilized by the ministry to serve members.
  • Pray for members and participate in team prayer meetings
Qualifications and Experience
  • Two-year degree from an accredited university or the equivalent combination of education and experience. (College diploma)
  • Prior healthcare, sales, or customer service experience preferred.
  • Staff are required to possess applicable knowledge to bring value to SMI in this role, know and utilize resources well, ask questions to ensure full understanding, gain and retain knowledge to keep up with changes, and accept and engage with training to grow knowledge for current and future responsibilities.
  • Knowledge of SMI Programs and Guidelines
  • Knowledge of SMI Internal Policies and Procedures (Intermediate) (particularly the needs processing and billing processes (Intermediate))
  • Knowledge of Healthcare common practices and terminology
  • Negotiating techniques (Intermediate)
  • Fair pricing calculations (Intermediate)
  • Medical billing process (Intermediate)
  • Single Case Agreements process
  • Upfront sharing loan processing in coordination with third party vendors
  • Software: Microsoft (Intermediate) Office (especially Excel (Intermediate)), Groundhog (Intermediate), Dash (Intermediate), Five9 (Intermediate), Zoho Desk (Intermediate)
  • Fair pricing tools (Intermediate) such as HCBB (Intermediate), Definitive Health (Intermediate), and AHD (Intermediate).
Additional Information
  • Tasks are normally conducted in a regular office environment, requiring use of computer and mouse and other standard office equipment. Staff usually remain in a stationary position, often standing or sitting for prolonged periods. If an other than on-location work situation is approved (i.e. hybrid or remote), the employee must work in an appropriately professional and secure environment.
  • Staff will observe safety principles while performing the duties of the position.
  • May need to lift and move items up to 35 lbs on occasion.
  • Disclaimer: This job description is intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of responsibilities, duties and skills required of personnel in the classification. Work hours are standard during the workweek (Monday - Friday) with potential, but rare, need for evening or weekend work.
  • This position requires an active commitment to the mission and values of SMI. In the course of performing job duties, the employee will act in a manner that is Christ-honoring as well as Christ-like, demonstrating a personal Christian faith and witness in all interpersonal interactions.

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