Provider Relations Advocate, Full Time - Days
Full Job Posting
Required Qualifications
- Bachelor’s Degree required (in lieu of a Bachelor’s Degree, work experience may be considered)
- Five (5) years managed care health care experience required to include provider relations and claims or network management experience in provider or third party payer setting
- Experience in a multi-facility health system, large academic medical center, or insurer environment highly desirable.
- Direct experience working between providers and third party payers to facilitate issue resolution.
- Strong knowledge base of hospital and physician revenue cycle operations required
- Experience and knowledge of value based care initiatives including risk contracts and population health management highly desirable.
- Specific thorough understanding of physician and hospital coding, claim forms and payer EOBs
- Ability to maintain strong connections to internal providers and external payers through relationship management and exceptional customer service mentality
- Self –starter and ability to take initiative and ownership of work
- Strong written and verbal communication skills
- Strong presentation skills
- Adapts well to rapid change and multiple, demanding priorities with excellent time and project management skills.
- Strong attention to detail and well organized
- Ability to multitask, problem solve, facilitate and collaborate on various work streams and projects. Ability to facilitate discussion and resolution
- Ability to work across a broad network of operational teams and provider locations
- Advanced working knowledge of Microsoft Office Suite, particularly Word, MS Excel and PowerPoint
- Job Type/FTE: Full Time (1.0 FTE)
- Shift: Days, Monday-Friday
- Unit/Department: Managed Care- Hyde Park
- Work Location: Hybrid Remote (will need to commit to coming onsite to Hyde Park and Burr Ridge as needed)
- CBA Code: Non-Union
Skills
- Ability to maintain strong connections to internal providers and external payers through relationship management and exceptional customer service mentality
- Self –starter and ability to take initiative and ownership of work
- Strong written and verbal communication skills
- Strong presentation skills
- Adapts well to rapid change and multiple, demanding priorities with excellent time and project management skills.
- Strong attention to detail and well organized
- Ability to multitask, problem solve, facilitate and collaborate on various work streams and projects. Ability to facilitate discussion and resolution
- Ability to work across a broad network of operational teams and provider locations
- Advanced working knowledge of Microsoft Office Suite, particularly Word, MS Excel and PowerPoint
- Position Details:
- Job Type/FTE: Full Time (1.0 FTE)
- Shift: Days, Monday-Friday
- Unit/Department: Managed Care- Hyde Park
- Work Location: Hybrid Remote (will need to commit to coming onsite to Hyde Park and Burr Ridge as needed)
- CBA Code: Non-Union
About UChicago Medicine
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