Supports, develops, and maintains service relationships with physicians, providers, and administrators of a provider network. Collects feedback from network stakeholders to survey satisfaction and facilitate communication. Responds to inquiries about referrals, eligibility, credentialing, and other policy matters and escalates or directs complex questions as necessary. Tracks and documents inquiries to ensure issues are resolved in a timely manner and creates routine reports to identify trends for management. Trains healthcare providers and physicians on network operating policies and procedures to ensure optimal network service standards. Requires a bachelor's degree. Typically reports to a manager. Work is closely managed. Works on projects/matters of limited complexity in a support role. Typically requires 0-2 years of related experience.
Supports, develops, and maintains service relationships with physicians, providers, and administrators of a provider network. Collects feedback from network stakeholders to survey satisfaction and facilitate communication. Responds to inquiries about referrals, eligibility, credentialing, and other policy matters and escalates or directs complex questions as necessary. Tracks and documents inquiries to ensure issues are resolved in a timely manner and creates routine reports to identify trends for management. Trains healthcare providers and physicians on network operating policies and procedures to ensure optimal network service standards. May provide guidance or expertise to less experienced representatives. Requires a bachelor's degree. Typically reports to a manager. Occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Typically requires 2-4 years of related experience.
Acts as a liaison between patients, families, and the healthcare organization to support patient-centric care delivery. Communicates patients' questions, concerns, and issues to appropriate staff members, follows up, and facilitates solutions as needed. Explains policies, procedures, rights, and applicable regulations to patients and provides informational resources about available services. Working with multi-disciplinary teams may make recommendations for improvements to the patient experience. May participate in discharge processes or administer patient satisfaction surveys. Follows all applicable regulations regarding patient information privacy policies. Requires a high school diploma. Typically reports to a supervisor. Works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. Typically requires 3-5 years of related experience.
Establishes or maintains a business relationship with new or existing brokers. Provides commissions for brokers in an accurate and timely manner. Troubleshoots all the administrative and specialized issues from brokers and clients. Handles concerns, issues and questions from brokers and customers. Requires a bachelor's degree. Typically reports to a supervisor or manager. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. Typically requires 2 to 4 years of related experience.
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