Provider Relations Representative

Summary of Work The purpose of the Provider Relations Representative position is to act as a liaison between the medical provider community and WSI, investigating and resolving provider-related issues.
The Provider Relations Representative creates value and makes an impact with these job duties: Compose and publish education-related materials regarding policies and procedures for medical services, utilization review, and bill audit Perform training, orientation, and coaching to medical practices for performance improvement as well as to agency staff Provide recommendations for the development of billing and coding requirements; fee schedules and guidelines; and website content Perform analysis and research to develop solutions to provider-related quality improvement projects Serve as the central contact point for provider database information Provider Issue Resolution and Solution Development Minimum Qualifications Requires a Bachelor's degree in communications, business, healthcare, health administration, or related field and two years of work experience related to healthcare administration working with medical providers.
Additional working experience may be substituted for the education requirement on a year-for-year basis.
Preferred Qualifications Ability to present and facilitate meetings with physicians, practitioners, and medical staff in a clear and organized manner Strong verbal and written communication skills Ability to think and plan on a strategic and conceptual level Must be able to contribute to a team environment, while at times being able to work independently with little supervision Understanding fee schedule methodologies, CPT coding, or Electronic Data Interchange (EDI) processes beneficial Must have a current driver's license and be able to travel, sometimes overnight About Team ND "Far and away the best prize life offers is the chance to work hard at work worth doing.
" - Theodore Roosevelt More than 7,500 talented, hard-working people across sixty-three agencies have come together as Team North Dakota.
At Team ND, we are driven to succeed through gratitude, humility, curiosity and courage.
Our purpose is to empower people, improve lives, and inspire success.
Join us in being legendary.
Total Rewards: The State of North Dakota is committed to providing team members with a strong and competitive rewards package that support you, your health and your family.
Considering a new position on Team ND? How does your current position stack up? Use our Total Rewards Calculator to estimate.
485 Application Procedures Apply online and upload the following information: cover letter (addressed to Human Resources), resume, references, and copy of college transcripts (if applicable).
All application materials must be received by the closing date to be considered for the open position.
Background checks will be conducted.
WSI staff will score all applications based on a 100-point scoring and rating system.
Applications should include information that directly addresses how the applicant meets the minimum qualifications and a summary of work.
It is very important to be thorough and detailed in the application materials.
Incomplete sections in the application will not be given credit.
Applicants with disabilities should contact Denise Osmond at 701-328-3849 in advance of applying to discuss any special provisions needed for applying or interviewing.
If you are experiencing technical difficulties with the Application Process or uploading attachments, please contact recruiter@nd.
gov or 701-328-3290.
ND Relay Number 1-800-366-6888.
Equal Opportunity Employer The State of North Dakota and this hiring agency do not discriminate on the basis of race, color, national origin, sex (including sexual orientation and gender identity), genetics, religion, age or disability in employment or the provisions of services and complies with the provisions of the North Dakota Human Rights Act.
As an employer, the State of North Dakota prohibits smoking in all places of state employment in accordance with N.
D.
C.
C.
Sect.
23-12-10.