Wyoming Medicaid Provider Trainer & Field Rep

Acentra Health; Casper (WY); Hybrid; USD 50,640 - 57,000; Full time

Job summary

Acentra Health is seeking a Field Representative & Trainer in Wyoming. The role focuses on fostering positive provider relations, coordinating education, driving quality improvement, and ensuring understanding of Medicaid policies.

It involves onsite visits, provider education through workshops and webinars, and hybrid work with Wyoming residency requirements. Responsibilities include resolving provider issues via education, supporting staff and providers, and delivering comprehensive training

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 and Medicaid rules is preferred.

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

Skills

Provider relations

Provider education

Training delivery

Customer service

Public speaking

Education

High school diploma or equivalent

Bachelor's degree in communication or education

Tools

Microsoft Word

Excel

PowerPoint

Adobe

Outlook

Job description

Acentra Health is seeking a Field Representative & Trainer in Wyoming. The role focuses on fostering positive provider relations, coordinating education, driving quality improvement, and ensuring understanding of Medicaid policies.

It involves onsite visits, provider education through workshops and webinars, and hybrid work with Wyoming residency requirements. Responsibilities include resolving provider issues via education, supporting staff and providers, and delivering comprehensive training