search
Home > Portland jobs > Portland accounting/financial

Posted: Monday, September 4, 2017 12:38 AM

Maintain positive public relations with provider groups, hospitals and clinic administrators across all business lines. Act as a personal contact for training, materials distribution, and as an information resource. Work throughout the PacificSource service area to educate provider office staff on current coding and PacificSource administrative and claims procedures. Act as a leading resource for cross functional, complex problem:solving within the Provider Network Department. Visit provider groups for on:site service calls to update office staff on PacificSource products, administrative and claims procedures, and current coding issues pertaining to all business lines.Visit newly contracted providers within eight weeks of contract implementation. Work to resolve potential problems before they become an issue with the provider groups and work to ensure satisfaction with PacificSource. Distribute a variety of claims analysis reports and other information pertaining to the providerA?s practice.Provide follow:up on behalf of Customer Service and other PacificSource departments regarding participating providersA? contract questions or compliance issues across all business lines.Act as a liaison for PacificSource between provider groups, PacificSource members, and PacificSource to resolve problems and comply with requests. Communicate with provider offices and their staffs, PacificSource departments, PacificSource Special Investigations Unit, and Provider Network Contract Account Lead. Document problems, issues, and resolution in provider files or call tracking as needed.Primarily responsible for the development and maintenance of the Provider Manual. Thoroughly explain the Provider Manual, provider contract, member plan information, and other information during on:site service calls and as needed, drawing on extensive knowledge of materials and policies. Review documents before delivery to ensure accuracy. May assemble materials and other collateral information prior to delivery.Demonstrate proficiency in performing provider education and introductory meetings and presentations, including PacificSource mission and business, InTouch functionality and registration, claims procedures, administrative procedures, member plan information, provider networks, and how to access appropriate forms and information on the PacificSource website as well as contacting appropriate PacificSource representatives for assistance. Prepare materials and presentations for the meetings.Provide education both in person and on the phone about InTouch functionality and troubleshooting.Prepare and maintain provider service files.Assist in the maintenance of provider demographics and serve as a resource to internal personal and provider office staff regarding participating provider maintenance.Perform operational tasks related to participating provider set:up and take necessary action to assure accurate internal implementation.Participate in the publication and mailing of the quarterly provider newsletters by gathering information and writing articles.Coordinate and facilitate distribution of codebook publications for the provider community.Speak as a PacificSource representative at provider:related functions. Attend provider:related conferences as a vendor in order to distribute information, network, and answer questions about PacificSource.Place supply orders and update inventory of PacificSource logo give:away products.Participate in local medical organizations such as Medical Assistants Organization and local chapters of the American Academy of Professional Coders (AAPC).Develop positive working relationships with provider groups and their staff to assure that providersA? concerns are addressed by the appropriate person(s) in a timely, responsive manner. Provide prompt, professional, and courteous service to providers, members, and PacificSource employees.Engage in intradepartmental projects and be able to participate knowledgeably and collaboratively to en

Source: https://www.tiptopjob.com/jobs/71610514_job.asp?source=backpage


• Location: Portland, Tigard

• Post ID: 22806592 portland
portland.wweek.com is an interactive computer service that enables access by multiple users and should not be treated as the publisher or speaker of any information provided by another information content provider. © 2017