Provider Consultant

Overview

Provider Consultant role at Palm Beach Accountable Care Organization. Serves as the primary liaison between The Healthcare Network and the participating provider community serving members across multiple product lines.

Responsibilities

• Serve as the primary liaison between The Healthcare Network and the participating provider community who service our members in multiple product lines throughout the network.
• Build and maintain strong relationships with providers by offering excellent customer service to assigned primary care and specialty care physicians with routine and targeted education visits regarding policies / initiatives. Include supply deliveries and prompt follow up regarding claims, benefits, and procedural guidelines for authorization of services.
• Conduct on-site visits, telephonic conversations and written communications with Hospital executives, Patient Account Managers, Physicians, Office and Billing Managers.
• Perform on-site provider orientations and group county orientations for new primary care and specialty care physicians regarding policies, procedures, billing and company-wide initiatives.
• Represent the Provider Consultant Department in workgroups and committees addressing internal and external customer concerns related to the provider community.
• Other duties as assigned.
• Applicant must be highly proficient and creative at identifying and solving problems.

Essential Job Functions

Minimum Qualifications

Preferred Qualifications

Physical Demands / Requirements

The position requires driving for extended periods of time, as well as walking to and from provider offices potentially up and down stairs.

Seniority level

Employment type

Job function

Industries

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