Provider Relations Billing & Education Field Representative

Location: Austin, TX (location is non-negotiable)

Job Summary

As a Provider Relations Billing & Education Representative, you will serve as a crucial liaison between Medicaid Providers and the Managed Health Plan (MHP). You will work closely with internal and external stakeholders, including provider group associations and various organizations, to provide guidance, resolve issues, and ensure smooth communication regarding Medicaid programs and policies.

You will be responsible for assisting with provider enrollment, recruitment, and retention efforts while performing critical education and billing support. You will maintain a high level of professionalism, strong communication, and effective time management to ensure that all tasks and duties are completed on time and to the satisfaction of all parties.

Key Responsibilities

+ Act as a liaison between Medicaid Providers and MHP, ensuring smooth communication and resolution of any issues

+ Research, address, and resolve provider requests, questions, and concerns regarding Medicaid programs

+ Provide clear and actionable resolutions, offering root cause analysis for provider inquiries

+ Stay updated with MHP website education materials, basic portal knowledge, and problem-solving resources to support providers

+ Educate providers on policies, procedures, and billing processes related to Medicaid

+ Maintain a thorough understanding of Medicaid programs and regulations to ensure accurate and timely support for providers

+ Utilize available resources to perform thorough research and assist providers with timely solutions

+ Ensure all customer requests are handled effectively, maintaining high customer satisfaction

+ Meet all contractual obligations while fostering positive interpersonal relationships with program participants

+ Participate in scheduled meetings and events on time, managing time efficiently throughout the workday

+ Communicate consistently with internal teams, external providers, associations, and stakeholders about Medicaid policies and processes

+ Support ongoing efforts to improve the provider experience and resolve technology or process-related frustrations when necessary

+ Complete tasks and assignments in a timely manner while maintaining professionalism and a strong work ethic

+ Perform additional duties as assigned by management

Job Requirements

+ Must meet Accenture’s Primary Residential Location (PRL) Policy for the Austin, TX, office location

+ Reliable transportation for travel within the assigned territory

Basic Qualifications

+ Minimum of 3 years of healthcare experience

+ Minimum of 1 year of experience in Medicaid, Medicaid Managed Care, and/or Health Plan Managed Care

Preferred Qualifications

+ Strong working knowledge of Medicaid Managed Care or commercial health plan managed care

+ Experience with billing in a hospital or healthcare setting

+ Project management experience is a plus

+ Proficiency in Microsoft Office, especially Word, Excel, and PowerPoint

+ Bachelor's degree in a related field

Professional Qualifications

+ Effective Communication: Ability to interact professionally with various stakeholders, including providers, internal teams, and external organizations

+ Time Management: Must be able to manage multiple tasks, attend scheduled events and meetings, and meet deadlines

+ Problem-Solving: Strong critical thinking skills to address provider concerns and resolve issues in a timely and efficient manner

+ Customer Service Orientation: A focus on maintaining high levels of customer satisfaction, especially when dealing with inquiries or frustrations

+ Attention to Detail: Accuracy in handling Medicaid policies, billing information, and other administrative duties

Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired in California, Colorado, District of Columbia, Illinois, Maryland, Minnesota, New York or Washington as set forth below.

The application window for this job will remain open until at least 04/18/2025. However, if this date has passed and this role is still posted, please note we are still accepting applications.

Information on benefits is here. (https://www.accenture.com/us-en/careers/local/total-rewards)

Role Location Hourly Salary Range

California $26.39 to $63.13

Colorado $26.39 to $54.52

District of Columbia $28.08 to $58.08

Illinois $24.42 to $54.52

Minnesota $26.39 to $54.52

Maryland $24.42 to $50.48

New York $24.42 to $63.13

Washington $28.08 to $58.08

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Requesting An Accommodation

Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired.

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Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.

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