Provider Relations Representative at Arkos Health

Fargo, North Dakota, United States -

Full Time

Start Date

Immediate

Expiry Date

31 Jan, 26

Salary

0.0

Posted On

02 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Relationship Building, Problem Solving, Communication Skills, Attention To Detail, Healthcare Delivery System Knowledge, CPT Coding, ICD Coding, HCPCS Coding, HCC Coding, HMO Knowledge, PPO Knowledge, Medicare Risk Knowledge, Indemnity Products Knowledge, MS Office Proficiency, Driver's License, Reliable Transportation

Industry

Hospitals and Health Care

Description

We are looking for a Provider Relations Representative to join our team! Welcome to Arkos Health! We are a value-based healthcare company providing solutions for payors and providers by combining unique technology with in-home, virtual, and in-clinical care for patients. Arkos serves health plans and provider organizations by managing their highest-risk and highest-cost populations. We are currently in Arizona, Nevada, North Dakota, Illinois and Vermont, Montana and Georgia! Our goal is to be the most valued partner to health plans, service providers, and the community we collectively serve. How You'll Make a Difference: The Provider Relations Representative (PRR) is a critical position to the overall success of our company. Through telephonic, face-to-face, and written communication the PRR must establish and retain positive and successful relationships with the participating provider network. The PRR must possess excellent relationship building, problem solving, and communication skills. To succeed in this role, a PRR will need to be outgoing, with attention to detail, and firm understanding of the health care delivery system. The PRR will maintain a collaborative, advising, and attentive attitude even when handling challenging situations. The PRR will assist with team coordination of group collaboration to ensure effective delivery of care. Why Arkos? Great Benefits! Employer-paid Medical, Dental and vision premiums at no cost to you Employer-paid Short-Term Disability premiums at no cost to you Employer-paid Life Insurance premiums at no cost to you Employer matching 401(k) 15 days annual combined sick/vacation and 9 days of holiday during your first year Your Birthday off! We have great people and a growing culture! From coffee bars to Ice Cream Day, we recognize our team! We are ranked as the 113th fastest-growing private company in the United States and 11th within the healthcare services sector on the 2024 Inc. 5000 list! Join us today! Essential Duties and Responsibilities: Develop and maintain provider relationships and serve as a primary resource for information and problem solving between Arkos and the provider network by maintaining a regular schedule of physician office visits Dutifully ensure open lines of communication between Arkos and the provider network to address concerns, answer questions, and apprise offices of quality care metrics Respond to incoming phone calls and emails promptly (within 24 hours) Investigate and resolve administrative issues and concerns between Arkos, provider network and health plans Provide real time support to the team, remove barriers to execution and ensure smooth daily operations Support team engagement and development, reinforcing a culture of accountability an high performance Travel to local provider offices and events. (Role will require significant daily travel in your personal vehicle. Mileage reimbursement will be provided based upon Arkos policy.) Qualifications and Skills: High school diploma or relevant equivalent experience Prior experience with provider networks and contracting with physicians Preferred knowledge of CPT, ICD, HCPCS, HCC coding; training may be available for the right candidate Knowledge of HMO, PPO, Medicare Risk and Indemnity products preferred; Accuracy and detail orientation (written and verbal) Must be able to interact with healthcare professionals Mastery of in-office equipment (computers, printers, etc) and MS Office programs (Word, Excel, PowerPoint and Access) Current unrestricted Driver’s license, reliable transportation and proof of insurance required What's Next? Apply for the Job! Our recruitment team will review your application and reach out to schedule a quick call! Please feel free to forward this opportunity to someone you believe might be a good fit! If hired, you could be eligible for a referral bonus! Must complete our Culture Index Survey. Take the assessment at https://go.cultureindex.com/s/bg3VS0H2kF. This is not a pass/fail test and does not measure intelligence. Arkos Health EEO Statement: We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Arkos Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check. Arkos Health participates in E-Verify to confirm eligibility to work in the United States. To view the details on this program, visit our career page at Careers - Arkos Health

Responsibilities

The Provider Relations Representative will develop and maintain provider relationships, serving as a primary resource for information and problem-solving. They will ensure open lines of communication between Arkos and the provider network to address concerns and support team engagement.