Client Relations Specialist

PRIORITY MANAGEMENT GROUP INC in; Pawtucket (RI); On-site; USD 52,000 - 68,000; Full time

Job summary

PMG Credentialing, Inc. seeks a Client Relations Specialist in Pawtucket, RI to support new location enrollment applications, deactivations, and coordination with internal teams and external vendors.

Strong communication, attention to detail, and the ability to multitask in a fast-paced environment are essential. The role reports to the Client Relations Director within the Client Relations Department and involves processing Medicaid applications, updating licenses and CAQH, and improving

Qualifications

• 4+ years of Enrollment Experience required, preferably in a FQHC/CVO setting.
• Must be able to define problems, collect data, establish facts, and draw valid conclusions; interpreting an extensive variety of technical instructions with several abstract and concrete variables.
• Prioritizing and organizing assignments; handle multiple, simultaneous, competing projects.
• Proficient computer skills including electronic mail, record keeping, routine database activity, word processing, spreadsheet, graphics, etc.

Responsibilities

• Partner with CL Directors/Managers to obtain temporary/permanent region assignment for overflow tasks.
• Meet with CRD/CRMs to understand current status of clients and execute solutions.
• Engage with CRMs to understand root causes and coordinate with CRD/VP CR for next steps.
• Train and mentor staff as appropriate.
• Process overflow/priority provider and location enrollment applications, payer deactivations, etc.
• Identify areas for operational improvement.

Skills

Communication skills

Attention to detail

Multi-tasking

Computer skills

Job description

Job Details:

Job Location: Pawtucket, RI 02860, Position Type: Full Time, Client Relations Specialist, Payer Enrollment

Qualifications:

Job Title: Client Relations Specialist

Department: Client Relations

Supervisor: Client Relations Director

FLSA Classification: Non-Exempt

In the role of Client Relations Specialist, you will be part of a team of dynamic staff at PMG Credentialing, Inc., a company dedicated to the successful Provider Enrollment and Credentialing of Federally Qualified Health Center’s (FQHC’s). The Client Relations Specialist is a key member of the client relations team supporting new location, enrollment applications, deactivations, and communicates with inside parties and external vendors to gather information and present solutions. This position requires strong communication skills, attention to detail, ability to multi-task, positive professional attitude, and ability to work in a fast-paced environment.

Essential Duties & Responsibilities:

• Partnering with Client Relations Directors/Managers (CRD/CRM) to obtain temporary/permanent region assignment for overflow tasks.
• Meeting with CRD/CRMs to understand current status of clients and routinely meets with respective staff to execute solutions.
• Engaging with CRMs to understand root causes and partners with the CRD/VP CR for next steps, if necessary.
• Training and mentoring staff, as appropriate.
• Processing overflow/priority provider and location enrollment applications, payer deactivations (terminated providers), etc.
• Identifying areas of improvement from an operations perspective.
• Processing all provider Medicaid applications and revalidations.
• Attesting to all directories and updating Licensures with Medicaid where applicable.
• Updating CAQH with updated licenses, Medicare, and Medicaid numbers.
• Managing follow-up assigned to an escalation task.
• Other duties, as assigned.

Supervisory Responsibilities:

The Client Relations Specialist receives very general guidance with respect to overall objectives; work is usually quite hands on with others; operating within division or department policy guidelines using independent judgment in achieving assigned objectives.

The Client Relations Specialist is supervised by and reports to the Director of Client Relations.

Other Duties and Responsibilities:

• Participating in proactive team efforts to achieve departmental and company goals.
• Exhibiting professionalism both internally and externally on all communication.
• Performing other duties as assigned.

Education and Experience:

4+ years of Enrollment Experience required, preferably in a FQHC/CVO setting.

Specialized Knowledge/Skills:

• Must be able to define problems, collect data, establish facts, and draw valid conclusions; interpreting an extensive variety of technical instructions with several abstract and concrete variables.
• Skilled to prioritize and organize assignments; handle multiple, simultaneous, competing projects.
• Outstanding problem-solving skills.
• Proficient computer skills including electronic mail, record keeping, routine database activity, word processing, spreadsheet, graphics, etc.
• Capable of dealing with frequent interruptions.
• A professional attitude and a desire to succeed.

Physical Requirements:

Necessitates fine motor skills; occasionally requiring pushing, pulling, lifting and carrying up to 15 lbs. Must be able to use a computer, including keyboard and telephone, during peak activity periods, in excess of 8 hours per day and/or 40 hours per week. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

Equal Employment Opportunity Statement:

It is the policy of PMG to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, PMG wil