Provider Relations Representative jobs in Grand Forks, ND

Position Description: IDRE Customer Service Representative (CSR)

Reporting to the Independent Dispute Resolution Entity (IDRE) Stakeholder Engagement Subject Matter Expert, the Customer Service Representative (CSR) shall be in contact with Initiating Party and Non-initiating party stakeholders. The CSR shall be primarily responsible for efficiently answering inquiries telephonically and via email. The CSR shall record requests, collaborate with team members regarding inquires, triage urgent requests or concerns and provide follow-up of inquiries to ensure stakeholders concerns are efficiently and effectively prioritized. The IDRE CSR is responsible for escalating matters to the IDRE Stakeholder Engagement SME. The IDRE SCR documents inquiries and provides reporting to trend inquiries. Outcomes of documentation may be used for continuous quality improvement initiatives.

Responsibilities

• Understand and represent PRI? mission, vision, and values to all internal and external customers
• Interact with government and private sector clients, partners, and PRI? staff in a professional and accountable manner, and as a representative of PRI? management
• Interact with project team members in order to successfully fulfill contract obligations with the highest quality and in a timely manner meeting PRITM?s ISO requirements
• Instills integrity throughout the organization via active participation in ISO requirements including but not limited to timely submission of Corrective Action Plans for all matters in which either PRITM standards and/or corporate contract standards have not been met. Communicates outcomes to team members to ensure a positive, open, environment which mitigates risk and achieves a culture of Continuous Quality Improvement
• Engage clients in appropriate communication that manages client expectations and builds a collaborative relationship with the client
• Respond to telephone inquiries promptly, professionally, and efficiently to provide first call resolution
• Understand and resolve customer requests, questions and provide analysis of situations to determine best use of resources
• Obtain, evaluate and analyze all relevant information to successfully handle inquires
• Serves as liaison between the customer and various departments or team members in response to inquires
• Direct unresolved issues to designated departments or team members for further investigation if necessary
• Participation in educating and communicating the program requirements to stakeholders
• Respond to all written inquires (letter, fax, and email) in a professional manner
• Keep records of stakeholder interactions and transactions
• Record details of actions taken and provide follow-up and results orientation based upon established protocols
• Identification of analysis of trends and reporting to management team
• Maintain a communications log that documents all inquiries, including telephonic, written, and e-mail
• Actively participates in quality assurance activities; identifies trends and reports to management team
• Recommend process improvement to management team (Lessons learned & Best Practices)
• Maintain a high level of knowledge and comply with all protocols, policies and procedures
• File all project documents (hard and soft copies)
• Provide assistance as needed to team members
• Perform other duties as assigned