Salary $47,415.42 - $74,878.29 Annually Location Downtown Minneapolis Job Type Full-time Remote Employment Remote Only Department Hennepin Health Job Number 23HH060TV045 Closing 2/1/2023 11:59 PM Central
Description
Hennepin Health is seeking two Provider Services Representatives to join their team. These positions will be responsible for resolving provider issues by responding to inquiries on a day-to-day basis. This encompasses responding to calls from health care providers to help answer questions and resolve issues regarding health care claims and payments. This provides the opportunity to create and positive relationships between the health plan and providers, including physicians, hospitals, larger care systems, ancillary providers, and practice managers.
Current Hennepin County employees who refer a candidate hired into an open competitive position may be eligible for a $500 referral bonus. For more information visit the employee referral program page.
Location and hours:
These positions are remote. Remote workers may be required to come on-site an average of 0 to 12 days a year for work meetings, trainings, or for any other reasons that their supervisor may deem necessary (may include additional days for onboarding and new employee training). Supervisors will provide as much advance notice as practicable. Work hours will be Monday through Friday, 8 a.m. - 4:30 p.m. While this position is designated as remote, based on current requirements hires must reside in Minnesota or Wisconsin.
New employees who are hired into remote or hybrid positions between January 2, 2022 to December 31, 2024, will receive $500 toward the cost of establishing consistent internet connectivity, payable upon completion of 6 months of employment.
About these positions type:
These positions are full-time, benefit earning positions.
These positions are internally classified as an Administrative Assistant
Click here to view the job classification specification.
In these positions, you will:
Answer incoming calls from health care providers, physician offices, clinics, hospitals, and members regarding transportation services and act as a backup to the Member Service team.
Identify the type of assistance the providers may need including benefits, eligibility, billing and payments, authorizations for treatment, explanation of benefits, and remits.
Focus on resolving issues on the first call, navigate through the multiple system applications to identify the current status of the issue, and provide an appropriate response to the caller.
Complete the documentation necessary to track provider issue and facilitate the reporting of overall trends.
Conduct follow-up calls to the providers regarding issue resolution outcomes.
Compose correspondence and provider specific reports to trend issues if it affects more than one claim.
Review and process claim appeal and reconsideration forms.
Need to have:
One of the following:
Four or more years of experience in a managed care, commercial insurance, customer service, claims, or provider support role.
Bachelor's degree or higher in public administration, business administration, or other field appropriate to the position.
Nice to have:
Experience:
Working with providers, including physicians, hospitals, larger care systems, ancillary providers, and practice managers.
Providing customer service in a call center setting.
Working for a health plan with exposure to Minnesota health care programs.
With coding, billing, electronic data interchange (EDI), revenue cycle management, practice management systems.
Working with multiple product lines of business with multiple levels of benefits within each product.
Planning with strong organization skills.
Ability to:
Navigate a computer while on the phone.
Understand multiple system applications.
Research and use strong analytical skills.
Strong interpersonal and verbal communication skills including telephone etiquette.
About the department: Hennepin Health provides health care coverage to Hennepin County residents who are enrolled in a Minnesota Health Care Program. Hennepin Health is a nonprofit, state-certified health maintenance organization that contracts with the Minnesota Department of Human Services. We envision being a leader in partnering with our members and communities to improve health, by integrating health care and service to enhance the health and well being of our members and the community. About Hennepin County: Hennepin is the largest county government organization in Minnesota. Our employees work every day to improve the health, safety and quality of life for our residents and communities. All of our jobs align to one or more of our overarching goals -- that Hennepin County residents are healthy, protected and safe, self-reliant, assured due process, and mobile. Our employees receive a combination of generous benefits and positive workplace culture not found at other organizations. This includes meaningful work that impacts our community, competitive pay, work-life balance, a variety of benefits and opportunities to grow. Learn more at The Bridge (login as Guest). Hennepin County envisions an organization where our commitment to diversity and the reduction of disparities is fundamental in providing excellent service to our community. Your future. Made here.
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