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Provider Relations Representative - Vision

Company: Kelly Services
Location: Alexandria
Posted on: November 19, 2021

Job Description:

Kelly Services has an immediate opening on a direct hire basis for a Provider Relations Representative (for vision products) with a top client. This role would allow you to work remotely, but you must be local to Louisiana to travel to local providers. The role will be about 30% travel. The ideal candidate will have a strong vision background.

Essential Job Functions
--- - - - - - - - - - - - - Support your resident state as their dedicated field representative.
--- - - - - - - - - - - - - Function as the first point of contact for provider issue resolution
--- - - - - - - - - - - - - Manage sophisticated and/or strategic relationships between the company and assigned provider groups by responding to provider requests via phone, e-mail and fax.
--- - - - - - - - - - - - - Act as liaison for provider issues including claims questions, termination requests and profile change requests.
--- - - - - - - - - - - - - Educate providers and office staff on insurance plans, fees and administrative plan requirements.
--- - - - - - - - - - - - - Collect, analyze and evaluate reimbursement data.
--- - - - - - - - - - - - - Facilitate and explain the credentialing process.
--- - - - - - - - - - - - - Attend local conferences and/or Provider webinar training.
--- - - - - - - - - - - - - Conduct on-site chart audits and clinical facility reviews of vision provider offices.
--- - - - - - - - - - - - - Represent the organization or the department's perspective at external functions as needed.
--- - - - - - - - - - - - - Complete special projects as assigned.

Qualification Requirements:
--- - - - - - - - - - - - - Minimum 3-5 years' vision and/or billing industry experience.
--- - - - - - - - - - - - - Minimum 3-5 years' experience in customer service or public relations.
--- - - - - - - - - - - - - Knowledge of health plan operations preferred.
--- - - - - - - - - - - - - The minimum education level required is a bachelor's degree; however, experience may substitute for education if responsibilities directly relate to the essential job functions.
--- - - - - - - - - - - - - Self-starter with the ability to work independently and as a part of a team.
--- - - - - - - - - - - - - Strong research, problem solving and organizational skills.
--- - - - - - - - - - - - - Ability to communicate well with providers and office staff both verbally and in writing.
--- - - - - - - - - - - - - Ability to multi-task and work in a fast-paced environment.
--- - - - - - - - - - - - - Excellent time management skills.
--- - - - - - - - - - - - - Proficient in Microsoft Office Suite, specifically Word and Excel.
--- - - - - - - - - - - - - Strong presentation skills.
--- - - - - - - - - - - - - Strong Eye Medical and coding background preferred.
--- - - - - - - - - - - - - Proficient in CPT, ICD-10 and HCPCS.
--- - - - - - - - - - - - - Must be able to work a flexible 40-hour week.
--- - - - - - - - - - - - - Must have a valid Driver's License.
--- - - - - - - - - - - - - Ability to travel up to 30%.
--- - - - - - - - - - - - - Certified COA/COT

Type of role: Direct Hire
Pay rate: $50K plus reimbursement for travel

Why Kelly - ?
As a worker today, its up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping you find whats next is what were all about. We know whats going on in the evolving world of workjust ask the 440,000 people we employ each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined.

About Kelly -
At Kelly, were always thinking about whats next and advising job seekers on new ways of working to reach their full potential. In fact, were a leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live (plus, did we mention we provide a ton of benefits ?). Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world. Kelly is an equal opportunity employer committed to employing a diverse workforce and providing accommodations for people with disabilities in all parts of the hiring process as required under its Employment Accommodation Policy. Kelly will work with applicants to meet accommodation needs that are made known to Kelly in advance.
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Keywords: Kelly Services, Alexandria , Provider Relations Representative - Vision, Other , Alexandria, Louisiana

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