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Medi-Cal Field Representative

Conduent Business Services, Llc

Medi-Cal Field Representative

West Sacramento, CA
Full Time
Paid
  • Responsibilities

    Medi-Cal Field Representative Conduent is the world's largest provider

    of diversified business process services with leading capabilities in transaction processing, automation, analytics and constituent experience. We work with both government and commercial customers in assisting them to deliver quality services to the people they serve. We manage interactions with patients and the insured for a significant portion of the U.S. healthcare industry. We are the customer interface for large segments of the technology industry and the operational and processing partner of choice for public transportation systems around the world. Whether it's digital payments, claims processing, benefit administration, automated tolling, customer care or distributed learning

    • Conduent manages and modernizes these interactions to create value for both our clients and their constituents. Learn more at www.conduent.com. The Medi-Cal Field Representative serves as a liaison between the Medi-Cal provider community, healthcare associations, the CA-MMIS account, and DHCS. In this capacity, the Medi-Cal Field Representative is responsible for conducting face-to-face onsite visits to providers who bill Medi-Cal to provide education and support in resolving provider issues. The Medi-Cal Field Representative is also responsible for conducting provider billing workshops/seminars and participating in conferences and conventions. **Requirements ** ** ** **At least 2 years of Medicaid / Claims experience ** Current California drivers license and clean DMV report required Experience in conducting public speaking events/training Exceptional written and verbal communication skills **Must live within 15-50 miles radius of San Francisco county. ** Ability to lift 20-25 pound boxes Have home internet Prefer Bachelors degree Tasks and Responsibilities * Maintains consistent communications with providers, including the communication of policy changes and updates * Coordinates and conduct orientations and training for newly enrolled providers and established providers to ensure provider understands their roles and responsibilities, billing procedures, and program policies * Maintains working knowledge of the CA-MMIS contract and procedures, and able to communicate information to the external (provider community) and internal customers * Maintains schedule of regular provider office visits for goodwill and problem-solving efforts * Maintains documentation of provider visits, provider communications (verbal and written), and any necessary follow-up activities and document into CRM * Recruits providers for participation in Medi-Cal and other state healthcare programs * Recruits providers for participation in computer media claims (CMC) submission and EFT * Assist in preparation and updating of provider publications * Designs and develops workshop, in-service, and conference materials * Develops education materials to include articles for bulletins, flyers, and any necessary correspondence to assist educate provider on Medicaid issues * Contacts providers with identified billing issues to offer onsite service/visit * Participates in local medical community organizations as public relations effort * Participates in or leads cross-functional teams focused on the delivery of new or existing projects. * Plans and directs schedules and may monitor budget/spending. * Monitors the project from initiation through delivery. * Organizes the interdepartmental activities ensuring completion of the project on schedule and within budget constraints. * Responsible for coordinating the delivery of professional services to customers. * Responsibilities include the overall planning, organizing, directing, controlling and delivery of all projects prioritized in alignment with the clients expectations and business needs. Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form. **Primary Location: **United States-California-West Sacramento **Work Locations: ** **Job: **Project Management **Organization: **Conduent Business Services, LLC. **Job Posting: **Feb 7, 2018, 9:08:11 AM **Travel: **Yes, 75 % of the Time
  • Industry
    Financial Services