Hybrid Account Manager, Provider Relations - Multicultural Market/South Asian bei Visiting Nurse Service of New York d/b/a VNS Health
Visiting Nurse Service of New York d/b/a VNS Health · New York, Vereinigte Staaten Von Amerika · Hybrid
- Professional
- Optionales Büro in New York
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched 401k retirement saving program
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement and CEU credits
What You Will Do
- Manages all provider contracts in designated territory, including recruitment, credentialing, recredentialing and relationship maintenance through regular visits and ongoing contact with existing and potential providers.
- Prepares materials for and orient providers to contract terms and operating requirements, Health Plan program and eligibility requirements, and service coordination.
- Collaborates with the Network Development and Contracting and Service Operations departments to administer demographic changes and renewals to provider contracts.
- Monitors contract performance of network providers and serves as a liaison between the Health Plan and the Provider to ensure the flow of information regarding resolution of member service issues.
- Coordinates provider site visits, as needed. • Coordinates and attends meetings to serve as a resource and addresses provider issues.
- Updates and maintains provider manuals with current Health Plan policies and procedures.
- Updates and proofs provider directories.
- Assists providers in triaging billing and claims disputes.
- Participates and collaborates with Compliance on Department of Health and internal audits.
- Participates in special projects and performs other duties as assigned.
Drivers license required
Education:
Bachelor's Degree or equivalent related work experience, preferably in health care setting required
Work Experience:
Minimum three years health care experience requiredKnowledge of government programs, including Medicare and Medicaid preferredPrior experience in Provider Relations preferred
Pay Range:USD $30.71 - USD $38.41 /Hr. Jetzt bewerben