[Hiring] Practitioner Education Representative I @American Specialty Health Incorporated

Role Description

American Specialty Health Incorporated (ASH) is seeking a Practitioner Education Representative to join our Provider Relations department. The primary purpose of this position is to make outbound calls to contracted practitioners to perform their required quarterly directory validation, secret shopper surveys, and educate practitioners of their contractual obligations ensuring compliance with all state, federal, and ASH requirements while maintaining a high degree of professionalism and providing excellent customer service. The position will support, develop, and maintain service relationships with all newly contracted and existing practitioners to support high practitioner satisfaction levels.

Remote Worker Guidelines: This position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum 50 Mbps download and 50 Mbps upload speed.)

Responsibilities

• Outreach and educate contracted practitioners to ensure compliance is met.
• Conduct regular Access to Care Surveys to ensure compliance with regulatory and health plan requirements.
• Outreach to practitioner network of practitioners who have not validated their demographics in order to meet regulatory requirements.
• Conduct audit to confirm current directory listing information for accuracy in support of state, federal, accreditation and health plan requirements.
• Captures practitioner change information, documents and forwards as required to record changes in appropriate databases.
• Execute trainings according to organization onboarding policies and procedures through outreach to newly contracted practitioners including the completion of required training attestations.
• Monitor trends of practitioner feedback during practitioner orientation to identify potential areas for training, support, and process enhancement.
• Interacts with practitioners/staff supporting campaign webinar and education activities.
• Makes recommendations to management for process improvements based on practitioner feedback.
• Works closely with managers and staff to ensure deadlines are met and provides routine and complex administrative support for the department.
• Provides general administrative support, including confidential correspondence and distributing practitioner notices via fax, email, and mail.
• Participate and attends department and all-staff meetings to increase knowledge and foster teamwork.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• High School Diploma or GED certificate required.
• 2 years of progressive experience performing customer service duties required.
• Specialty health care or health care experience preferred.
• Proficient in MS Office with experience in word processing and spreadsheet applications.
• Strong verbal and written communication skills.

Core Competencies

• Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
• Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
• Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
• Ability to effectively organize, prioritize, multi-task and manage time.
• Demonstrated accuracy and productivity in a changing environment with constant interruptions.
• Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions.
• Ability to exercise strict confidentiality in all matters.

Mobility

• Primarily sedentary, able to sit for long periods of time.

Physical Requirements

• Ability to see, speak, and hear other personnel and/or objects.
• Ability to communicate both in verbal and written form.
• Ability to travel within and around the facility or Work from Home (WFH) environment.
• Capable of using a telephone, computer keyboard, and mouse.
• Ability to lift up to 10 lbs.

Environmental Conditions

• Work-from-home (WFH) environment.

Company Description

American Specialty Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.