Representative

• supports the provider community in a variety of areas including but not limited to virtual and onsite visits, claims follow up and research support, as well as virtual and face-to-face training development and delivery
• performs routine to complex tasks that are related to provider claiming, program policies, and training
• provides training (workshops, seminars, program specific group events) to the provider community and acts as liaison with internal departments and the customer
• provides one-on-one billing support, claim research and analysis, and targeted outreach to providers; supports provider association inquiries and events
• acts as an escalation point for internal claims staff
• liaises with internal departments and the client to ensure that all provider concerns are resolved in a timely and efficient manner
• applies knowledge of established policies and procedures to resolve provider issues, and to work with the customer to ensure compliance
• exercises independent judgment within defined practices and procedures to define appropriate actions

Provider Field Representative supporting provider community in various areas of Medicaid programs

Provider Field Representative

Provider Field Representative supporting provider community in areas like claims and training delivery. Working closely with Medicaid programs in the DC metropolitan area and liaising between providers and internal departments.

• Serve as the primary technical field support resource for Rebel Power and communications products
• Provide on-site assistance to defense, government, and commercial customers
• Support customer demonstrations, training, product integration, troubleshooting, and operational field exercises
• Serve as the technical liaison between customers and internal teams
• Work closely with Business Development, Sales, Program Management, and Engineering to ensure successful product deployment

Field Service Representative providing technical support for Rebel Power products

Field Service Representative

Field Service Representative providing technical support for Rebel Power and communications products. On-site assistance for customers, supporting demos, training, and deployments.

• Provide daily oversight and monitoring of non-clinical staff, as assigned; also provide the supervisor with input regarding employees’ performance of all treatment types.
• Provide clinical and/or review process subject matter expertise; respond to customer and provider questions or concerns.
• Assist with initial orientation and training of new staff.
• Create staff training schedules daily as indicated by the supervisor.
• Ensure timely completion of daily training and report pertinent observations of individual and team productivity and performance to the supervisor.
• Apply and assist in the development of non-clinical staff’s work process.
• Retain and organize files and records, track, and monitor due dates on action items.
• Provide follow-up and monitoring of non-clinical staff during their performance, as appropriate; also provide the supervisor with input regarding employees’ performance of these activities.
• Screen client or customer complaints and assist with follow-up and resolution.
• Respond to inbound telephone requests.
• Assist in organizing and scheduling Open Forum huddles.
• Participate in Provider Portal training.
• Identify training needs or opportunities for improvement in process or documentation and work with Supervisor and manager to update procedures and process as needed.
• Identify and report HIPAA and PHI violations in the appropriate database.
• Perform other duties as assigned.

Lead Intake Representative coordinating and supporting the Intake Representative team at Comagine Health

Intake Representative Lead

Lead Intake Representative coordinating and managing non-clinical staff at Comagine Health. Engage in healthcare quality consulting and quality improvement with a remote workforce.

Representative jobs in District of Columbia

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Provider Field Representative

Field Service Representative

Intake Representative Lead