Job Description

Job Description

POSITION SUMMARY or VALUE PROPOSITION:
The provider relations representative is responsible for establishing, maintaining, and servicing relationships with the RevDoc contract providers such as Physicians, PAs, Nurses and participating medical facilities. This position involves direct daily interaction with providers. These representatives create and explain resources related to policies, processes, approval timelines, and other actions. They implement
and oversee account management tools and systems to ensure accurate records and efficient service.They perform data analysis to identify and evaluate key metrics.

Essential Functions of the Provider Relations Representative:

Building Provider Network

• Create process for regional management of the business.
• Analyze service regions for recruiting needs.
• Create recruiting strategy.
• Manage marketing budget to support strategy.
• Interview and assess possible recruits, including background checks.
• Manage onboarding of new recruits.

Managing Provider Network

• Assist approved providers with creating marketing and communications materials.
• Assist in resolving elevated and complex provider service complaints.
• Ensure the accurate implementation, and administration through vendor partners.
• Organize and file all relevant reports and paperwork.
• Conduct in-field assessments and quality control events. Perform community inspections to ensure the brand is maintained to company expectations.

Continued Quality Improvement

• Develop and maintain key processes established by the business.
• Obtain and analyze financial performance quality metrics and reports to providers on the impact to performance.
• Prepare reports/documents, assist with online reviews and post-survey follow-up activities.
• Document and provide performance feedback in a timely manner.
• Research problems and negotiates with internal/external partners/customers to resolve highly
• complex and/or escalated issues.
• Maintain accurate tracking mechanisms and analysis, action plans for management insight.

Qualifications for Provider Relations Representative:

• A natural problem solver and leader.
• Is always a professional and is comfortable making decisions.
• Can collaborate with teams and members to achieve goals.
• A critical thinker with demonstrated work ethic.
• Fluency in medical processes such as provider credentialing and patient intakes.
• Regular and reliable attendance.
• Perform other duties as assigned.

Additional Information:
Customer Focus:

• Position primarily serves providers and patients.

Confidentiality:

• Routinely works with sensitive and/or confidential information.

HIPAA:

• Exhibit an expert understanding of healthcare regulatory and compliance (e.g., HIPAA). Skilled in the application of policies and procedures. Knowledge of Corporate Standards and Recommended Practices.

**KNOWLEDGE, SKILLS & ABILITIES: **The requirements listed below are representative of the knowledge, skills and/or abilities required.

Education: Bachelor's or Graduate's Degree in business, business administration, marketing or finance.

Experience : 3-5 years of progressive experience in sales, marketing, and strategy; 3+ years of management experience; Prior consulting and sales experience. Previous healthcare industry experience strongly preferred.

Certifications & Licenses:
Valid State Drivers’ License and proof of vehicle insurance

Skills and Abilities:
Advanced Computer Skills -- Routine use of electronic mail and computer systems. Ability to incorporate complex and complicated functions into documents, spreadsheets, databases, and presentations to support business objectives.

Organizational Communication -- Handles broad-based complex information across departments with company-wide impact. Presents to diverse audiences, and can negotiate, motivate and persuade others.

Organizational Business Problems -- Problems are broad, complex and abstract, often involving company-wide issues. Must develop solutions using substantial creativity, resourcefulness, innovation, negotiation and diplomacy.

Organizational Impact -- Decisions have significant, broad implications for the management and operations of a division. Job contributes to decisions on the overall strategy and direction of RevDoc.

Moderate Independent Judgement -- Results are defined; sets personal goals and determines how to achieve results with few or no guidelines to follow; supervisor/manager provides broad guidance and overall direction.

Project Management -- Handle multiple projects simultaneously including task delegation, project oversight, and resource allocation.

PHYSICAL AND MENTAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift, push, pull and/or move up to 20 pounds. Repetitive motion of upper body required for extended use of computer. Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

WORK ENVIRONMENT AND TRAVEL REQUIREMENTS:
This employee will be based in-office and will travel by personal vehicle to fulfill management and recruiting goals. Based on goals and region, travel time could be 30-70% of time.