Provider Relations Representative, Sr. jobs in Wisconsin

AssuranceSD is a mission-driven organization providing administrative services that enable individuals to take ownership over their personal care services, ensuring that they receive quality and comprehensive care with minimal disruption. Our mission is to help strengthen communities by enabling individuals to elect and manage their own care programs, including how, when, where, and who delivers these services. This helps care recipients retain their dignity during what are often challenging times and ensures they receive the most appropriate services for their specific situation. Through facilitating self-directed home and community-based services, AssuranceSD improves the standard of home care available to aging seniors as well as individuals with disabilities.

General Responsibilities:

The Provider Relations Specialist Role assists providers for the newly launched Independent Living Supports (ILSP) program with onboarding, enrollment, ad ongoing support throughout the duration of the program (e.g., claims and invoicing) under the Premier Financial Management Services brand in our Wisconsin market  BROWN COUNTY

AssuranceSD  Full Time Benefit Package Includes:

• Competitive Pay
• Health insurance with Company Contributions
• HSA
• Holiday Pay
• Paid time off.
• Dental insurance
• Vision insurance
• 401(k) with Company match
• Life insurance
• Long- and Short-Term Disability insurance
• Parental leave

• Connect with new ILSP providers (non-professional in-home service providers and vendors) and coordinate dedicated support sessions via phone, video, or in-person
• Educate providers on the ILSP program and their key duties and responsibilities including enrollment and invoicing
• Assist providers to complete all required paperwork using our digital enrollment platform and claims engine
• Provide ongoing customer service to providers to answer questions, flag concerns, and enhance their program experience
• Liaison with program participants and Aging and Disability Resource Center (ADRC) staff to align stakeholders on requirements, statuses, and roadblocks in enrollment and invoice processing
• Conduct initial review of enrollment and invoice forms for completeness and accuracy and conduct follow-up with providers and participants as necessary to finalize paperwork for submission
• Track case management of provider enrollment based on service requests and updates from participant
• Develop regional expertise of provider landscape to support provider identification by service for participants and to liaise with providers on behalf of participants
• Collaborate with in-office enrollment, customer service, and claims processing teams to finalize processing and resolve customer support tickets in a timely manner
• Other duties as needed to maintain a high-quality program

• Working knowledge of laws and regulations pertinent to essential job functions
• Excellent communication skills via telephone, email, and in-person
• General math, clerical, data entry, and customer service
• Strong data entry and process skills
• Excellent interpersonal skills; self-driven, motivated and results oriented
• Computer skills using Microsoft Windows, Word, and Excel
• High degree of professionalism and confidentiality regarding all aspects of the position and its responsibilities
• Ability to juggle and prioritize multiple, often competing, priorities in a fast-paced environment
• Client-first mentality with the ability to interact with internal and external clients at all levels
• Familiarity with the Fiscal Agent program processes and procedures
• Experience in customer service and onboarding; off-site roles are a plus
• Regular ability to drive to commercial and residential sites for support, as requested

Equal Employer Opportunity Statement

We are an equal opportunity workplace, committed to equal employment opportunity regardless of race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, genetic information, veteran status, gender identity or expression, sexual orientation, or any other characteristic protected by applicable federal, state or local law. We are committed to diversity, equity and inclusion, both in our hiring practices and in our experiences as a AssuranceSD employee. We strive to create a mindful and respectful environment where everyone can bring their authentic self to work, and experience a culture that is free of harassment, racism, and discrimination.

Disclaimer:

This job description indicates the general work necessary to adequately execute core job responsibilities. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to