Provider Outreach Specialist

Equian LLC Franklin , TN 37064

Posted 2 weeks ago

Position Summary

The Provider Outreach Specialist will work independently and in collaboration with the data mining team to obtain pertinent data from healthcare providers that will aid in payment evaluation by our data mining team.

General Duties and Responsibilities

Position responsibilities:

  • Contacting Providers to provide and obtain information

  • Creating database information for tracking purposes

  • Work in close partnership with the Data Mining and Accounts Receivables team

  • Other duties as assigned

Position Qualifications:
Knowledge, Skills and Abilities

Role qualifications:

  • Proficiency with MS Office Suite including Excel, Word, and Outlook

  • Excellent communications, presentation, time/project management, problem solving, organizational, and analytical skills required.

  • Working knowledge of Medicare, Medicaid and Commercial Insurance plans

Skills and Experience:

  • Superior verbal and written communication skills

  • Superb interpersonal and relationship-building skills

  • Exceptional organizational and problem-solving skills

  • Ability to work independently in an efficient and responsible manner

  • Team player with history of successful goal attainment

  • Coding Certification/Nursing Background Preferred

Experience/Education:

  • Bachelors degree or equivalent experience is required.

  • Minimum of 3 years of experience in healthcare industry, is required.

Travel:

Negligible travel required.

Physical Requirements:

The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • The employee must occasionally position, transport and/or move up to 10-15 pounds.

  • While performing the duties of this Job, the employee is regularly required to:

  • Stand; walk; move about in an office environment;

  • Be stationary for long periods of time;

  • Use hands to finger, handle, or feel;

  • Reach with hands and arms above the head and to ground level;

  • Occasionally stoop, kneel, crouch, or crawl or otherwise reach into confined spaces;

  • Occasionally push and pull material and equipment from one place to another;

  • Communicate with and exchange information verbally and in writing;

  • Operate a computer and phone during the work shift;

  • Work using repetitive motion.

  • Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.

  • Work requires physical efforts associated with using the computer and phones to access information.

Working Environment:

The work environment characteristics described are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is most frequently in an office environment.

The noise level in the work environment is usually quiet to moderate.

This job description is not intended to describe in detail the multitude of tasks that may be assigned, but rather to provide the incumbent with a general sense of the responsibilities and expectations of his/her position. It is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities or working conditions associated with the position. As the nature of business demands change so, too, may the essential functions of this position.


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Provider Outreach Specialist

Equian LLC