PROVIDER SERVICES ASSOCIATE
Company: StateServ
Location: Mesa
Posted on: August 7, 2022
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Job Description:
Essential Functions:Monitors all assigned client item add
requests either via Salesforce.com or requests received via phone
or email to ensure continuity of patient care within 24 business
hours. Procures equipment, supplies, and services and negotiates
fair pricing based on internal policies and procedures to ensure
fair market pricing. Enters and tracks all assigned equipment or
service requests via project management tool(s) and provides
real-time updates for internal stakeholders and quality
department.Tracks and solves Customer Quality Incidents, including
short-term containments, identification of root-cause of issues,
and ensuring long-term resolution plans in place to prevent
reoccurrence.Weekend coverage is required on a rotating schedule
with teammates to ensure adequate coverage and ability to serve our
clients; including, reaching out to providers, patients serviced
for real time needs, report that confirmation back to hospice team
member, and the Client Services Consultant who manages the hospice
account, to confirm the patients' needs will be serviced.Monitors
the Open Claims report and follows up with delinquent DME Providers
to ensure Claims are adjudicated within the billing period.Monitors
inerrant billing report to correct duplicate claims and equipment
and corrects inerrant claims; follows up with Providers and
provides training and support to reduce ongoing issues with system
incompliance.Communicates equipment and service request status to
all affected internal and external customers to ensure urgent
patient care needs are met in a timely manner. Requests additional
network management team support when/if any obstacles prevent
timely processing OR could create a patient care issue.Other
related departmental duties to be assign as needed.Evaluates active
job policies and procedures to ensure efficient operation. Will
submit new ideas to supervisor for implementation
consideration.Protects company's intellectual property and the
privacy of customers' dataPerforms other duties as assigned or
apparentKnowledge, Skills & Abilities:Education, Licensure or
CertificationHigh School diploma or equivalent is requiredA
Bachelor's degree in Business or related field is preferredWork
Experience or Related ExperienceA minimum of one year of
procurement or customer service experience is required.A solid
understanding of procurement functions is preferred.General
business acumen required and usually obtained through work
experience, education or trainingDurable medical equipment,
pharmacy, managed care or other pertinent health care services
industry experience is preferredSpecialized Knowledge, Skills &
AbilitiesExcellent customer service skills are required to perform
the essential functions of the positionStrong written and verbal
communication skills requiredWorking knowledge of a PC, business,
and communications software (MS Office) and web-based tools
arerequiredThe ability to be proactive and self-directed utilizing
good time management, decision-making, and organization skills is
required.Incumbents must be able to prioritize multiple tasksMust
have the ability to work effectively in a fast pace entrepreneurial
environment
Keywords: StateServ, Mesa , PROVIDER SERVICES ASSOCIATE, Other , Mesa, Arizona
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