Medicare/Medicaid Provider Relations Specialist

Innovative Systems Group; Austin (TX); On-site; USD 57,000 - 69,000; Full time

Job summary

Innovative Systems Group is seeking a provider services specialist to support Medicare and Medicaid provider operations. The role involves researching and resolving provider inquiries related to contracts, system issues, data entry claims payments, and directory accuracy.

You will collaborate with Provider Network, Provider Relations, and Government Programs staff to resolve issues and communicate updates. Responsibilities include educating the Medicaid/Medicare provider network on policy

Qualifications

• Bachelor degree OR 2 years of experience in health insurance/managed care industry.
• Strong written and verbal communication skills to educate providers and resolve issues across departments.
• Proficiency in Microsoft Word and Excel.
• HS Diploma or GED.

Responsibilities

• Support Medicare and Medicaid provider services and provider operations.
• Research and resolve provider inquiries related to contracts, systems, data entry claims payments, and directory issues.
• Coordinate internal/external communications to educate providers about policy updates and changes.

Skills

Written communication

Verbal communication

Problem solving

Education

Bachelor degree

HS Diploma/GED

Tools

Microsoft Word

Microsoft Excel

Job description

Innovative Systems Group is seeking a provider services specialist to support Medicare and Medicaid provider operations. The role involves researching and resolving provider inquiries related to contracts, system issues, data entry claims payments, and directory accuracy.

You will collaborate with Provider Network, Provider Relations, and Government Programs staff to resolve issues and communicate updates. Responsibilities include educating the Medicaid/Medicare provider network on policy