Field Representative & Trainer

Acentra Health; Wyoming (OH); Hybrid; USD 51,000 - 57,000; Full time

Job summary

Acentra Health is seeking a Field Representative & Trainer to strengthen provider relations and deliver Medicaid education across Wyoming. The role includes onsite visits, workshops, and webinars to drive quality improvement and policy understanding.

You will coordinate training with provider networks, ensuring compliance with HIPAA and contract requirements while traveling to designated counties and clinics.

Qualifications

• Requires a high school diploma or equivalent.
• Minimum of 3 years of experience in provider relations/education or customer service.
• Prior experience in healthcare provider networks, insurance or healthcare rules and regulations is preferred.
• Proficient in creating and delivering educational training courses.
• Strong organizational and time management skills; ability to work independently and meet deadlines.
• Must have reliable transportation for field work.

Responsibilities

• Provide courteous and efficient service to providers and external customers; resolve issues through education and resources.
• Support staff and providers for issues requiring extensive research and resolution skills.
• Deliver provider education to promote accurate claims on first submission and reduce resubmissions.
• Work with provider networks using Medicaid rules and regulations knowledge.
• Assist Medicaid providers with billing issues, policy questions and other program concerns.
• Collaborate with team to identify, document, and resolve provider questions from initial request to final resolution.
• Identify areas for improvement and make recommendations to improve Medicaid experience for providers.
• Deliver in-person training across Wyoming using instructor-led seminars and on-site visits.
• Coordinate with cross-functional teams to address provider inquiries and maintain service quality.
• Read and adhere to all corporate policies including HIPAA Privacy and Security Rules.

Skills

Provider relations

Customer service

Public speaking

Time management

Independent work

Education

Bachelor's degree

High school diploma

Tools

Microsoft Word

Excel

PowerPoint

Adobe

Outlook

Job description

Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Job Summary And Responsibilities

Acentra seeks a Field Representative & Trainer to join our growing team.

Job Summary

The Field Representative & Trainer plays a pivotal role in fostering positive provider relations and elevating the customer service experience. In addition, you will serve as the key conduit for provider education coordination, driving quality improvement initiatives, and ensuring a thorough understanding of Medicaid policies. You will be working with providers and networks using knowledge of Medicaid rules and regulations and will be responsible for onsite visits and provider education through specialized training, conducting in person workshops, and webinars.

• This position is hybrid within the State of Wyoming, combining remote work with field-based responsibilities. Candidates should preferably reside in or near Natrona County (Casper), Campbell County (Gillette), Sheridan County (Sheridan), Park County (Cody or Powell), or Fremont County (Riverton or Lander) to support field coverage needs.
• At this time, we are not considering candidates located in Laramie, Albany, Platte, Goshen, or Sweetwater counties.

Job Responsibilities

• Provide courteous and efficient service to providers and external customers, swiftly resolving provider issues through comprehensive education and utilization of relevant resources
• Provide support to staff and providers for issues requiring extensive research and resolution skills
• Conduct provider education to promote provider claims correction on their first response rather than stopping after each error and requiring the provider to resubmit multiple times for each claim
• Work with provider networks through your knowledge of Medicaid rules and regulations
• Support Medicaid providers, assisting them with resolution of billing issues, policy questions and other issues relevant to the program
• Work with other team members and stakeholders to identify, document, track and ensure resolution of provider questions and issues from initial request to final resolution
• Identify areas for improvement and make formal recommendations for Provider communication and/or training to improve providers’ Medicaid experience
• Deliver in-person training to providers across Wyoming using in-person, instructor- led training seminars, and on-site provider visits
• Collaborate with cross-functional teams to address provider inquiries and maintain service quality in alignment with contract requirements
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules

Qualifications

Required Qualifications/Experience

• Requires a high school diploma or equivalent
• Minimum of 3 years of experience in provider relations/education or customer service
• Prior experience working in the healthcare industry such as working with provider networks, insurance or healthcare rules and regulations
• Proficient in creating and delivering educational training courses
• Strong organizational and time management skills, with the ability to work independently, prioritize tasks, manage workload, and meet tight deadlines in a fast-paced environment
• Must have reliable transportation for field work

Preferred Qualifications/Experience

• Bachelor's degree in communication, education, or related business field
• Comfortable with and be skilled in public speaking, training, and presenting in front of an audience
• Computer literate using standard tools (Microsoft Word, Excel, PowerPoint, Adobe, and Outlook) and inquiry through web portal applications
• Bilingual in Spanish

Why us?

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Experience In Lieu Of Degree

For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree.

Compensation

"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level." Pay Range USD $50,640.00 - USD $57,000.00 /Yr.