Provider Relations Representative (Bilingual English/Asian candidates)

Company: Advanced Behavioral Health
Location: Middletown
Posted on: March 17, 2020

Job Description:

POSITION SUMMARY:The Provider Relations Representative supports the credentialing and provider relations services for the Behavioral Health Home Program. The Provider Relations Representative works collaboratively with providers and fosters a positive perception of the contract among providers. This position will represent ABH and its services in a positive and professional manner and adhere to ABH-s best practices, guidelines, policies and procedures as established, promoting ABH as a leader in behavioral healthcare in all interactions and work.DUTIES AND RESPONSIBILITIES:? Communicates with all providers in a professional and respectful manner, promoting positive provider practices through communication and mutual education;? Provides administrative services of provider contract in the most efficient manner possible in an effort to reduce administrative burden on providers;? Provides support/service to providers including orientation and education of providers and staff and incorporating contract policies and procedures;? Acts as liaison with other departments in the company regarding provider issues;? Assists in the research of information regarding provider issues/operations;? Tracks and manages all inquiries, complaints and/or grievances consistent with ABH Policy, including notification of the BHHP Program Manager;? Assists in Provider Orientation Sessions and ongoing technical assistance visits as determined by the BHHP Program Manager;? Assist the BHHP Program Manager in monitoring provider performance? Proactively identifies opportunities to improve the provider's understanding of proper billing and posting procedures;? Assists in provider credentialing/re-credentialing processes, including but not limited to preparation and mailing/emailing of credentialing documents, review of returned documents, performance of primary source verification, and documentation of credentialing information in the electronic data systems;? Maintains confidentiality of all client protected health information and adheres to all HIPAA related policies and procedures;? Performs other tasks/responsibilities as required to support the business operations;? Demonstrates ethical behavior and cultural sensitivity in all activities involving individuals of diverse background.

Keywords: Advanced Behavioral Health, Middletown , Provider Relations Representative (Bilingual English/Asian candidates), Other , Middletown, Connecticut