What are the responsibilities and job description for the Provider Relations Billing & Education Field Representative position at Knowledgent?
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
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.
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
Austin, TX
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.
If you would like to be considered for employment opportunities with Accenture and have accommodation needs such as for a disability or religious observance, please call us toll free at 1 (877) 889-9009 or send us an email or speak with your recruiter.
Equal Employment Opportunity Statement
We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities.
For details, view a copy of the Accenture Equal Opportunity and Affirmative Action Policy Statement
Accenture is an EEO and Affirmative Action Employer of Females/Minorities/Veterans/Individuals with Disabilities.
Accenture is committed to providing veteran employment opportunities to our service men and women.
Other Employment Statements
Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States.
Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.
Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process. Further, at Accenture a criminal conviction history is not an absolute bar to employment.
The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information.
California requires additional notifications for applicants and employees. If you are a California resident, live in or plan to work from Los Angeles County upon being hired for this position, please click here for additional important information.
Please read Accenture’s Recruiting and Hiring Statement for more information on how we process your data during the Recruiting and Hiring process.
We work with one shared purpose: to deliver on the promise of technology and human ingenuity. Every day, more than 775,000 of us help our stakeholders continuously reinvent. Together, we drive positive change and deliver value to our clients, partners, shareholders, communities, and each other.
We believe that delivering value requires innovation, and innovation thrives in an inclusive and diverse environment. We actively foster a workplace free from bias, where everyone feels a sense of belonging and is respected and empowered to do their best work.
At Accenture, we see well-being holistically, supporting our people’s physical, mental, and financial health. We also provide opportunities to keep skills relevant through certifications, learning, and diverse work experiences. We’re proud to be consistently recognized as one of the World’s Best Workplaces™.
Join Accenture to work at the heart of change. Visit us at www.accenture.com.
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
- Must meet Accenture’s Primary Residential Location (PRL) Policy for the Austin, TX, office location
- Reliable transportation for travel within the assigned territory
- Minimum of 3 years of healthcare experience
- Minimum of 1 year of experience in Medicaid, Medicaid Managed Care, and/or Health Plan Managed Care
- 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
- 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
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.
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
Austin, TX
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.
If you would like to be considered for employment opportunities with Accenture and have accommodation needs such as for a disability or religious observance, please call us toll free at 1 (877) 889-9009 or send us an email or speak with your recruiter.
Equal Employment Opportunity Statement
We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities.
For details, view a copy of the Accenture Equal Opportunity and Affirmative Action Policy Statement
Accenture is an EEO and Affirmative Action Employer of Females/Minorities/Veterans/Individuals with Disabilities.
Accenture is committed to providing veteran employment opportunities to our service men and women.
Other Employment Statements
Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States.
Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.
Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process. Further, at Accenture a criminal conviction history is not an absolute bar to employment.
The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information.
California requires additional notifications for applicants and employees. If you are a California resident, live in or plan to work from Los Angeles County upon being hired for this position, please click here for additional important information.
Please read Accenture’s Recruiting and Hiring Statement for more information on how we process your data during the Recruiting and Hiring process.
We work with one shared purpose: to deliver on the promise of technology and human ingenuity. Every day, more than 775,000 of us help our stakeholders continuously reinvent. Together, we drive positive change and deliver value to our clients, partners, shareholders, communities, and each other.
We believe that delivering value requires innovation, and innovation thrives in an inclusive and diverse environment. We actively foster a workplace free from bias, where everyone feels a sense of belonging and is respected and empowered to do their best work.
At Accenture, we see well-being holistically, supporting our people’s physical, mental, and financial health. We also provide opportunities to keep skills relevant through certifications, learning, and diverse work experiences. We’re proud to be consistently recognized as one of the World’s Best Workplaces™.
Join Accenture to work at the heart of change. Visit us at www.accenture.com.
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