Job Description

Category:
Administrative/ Clerical

Facility:
Steward Health Care Network

Department:
Steward Health Care Network

Req Number:
54594

Job Details:

JOB DESCRIPTION

Position Purpose: The Provider Relations Coordinator under the guidance and supervision of the Regional Director of Operations will be responsible for assisting in the development and implementation of region performance plans that pertain to quality, efficiency, patient satisfaction, care retention and accurate coding while maximizing risk-based reimbursement for populations covered under risk contracts.

No.

Essential Duties and Primary Accountabilities: Listing of the major functions of the role including percentage of time allocated to each function.

Should include all duties required to complete the job.

% of

time

1

The Provider Relations Coordinator under the guidance and supervision of the Regional Director of Operations will be responsible for disseminating internal communications and deliverables from the SHCN internal business and operational teams to the appropriate stakeholders at their respective practice locations.

· Communicates regularly through various communication methodologies, including one on one or group meetings, with local practice staff consistent with the key messages disseminated from the SHCN internal business and operational teams

40%

2

The Provider Relations Coordinator has knowledge on all PCPs and Specialists within the assigned region, including key information such as group membership, affiliates, and historically contextual elements.

· Maintains the documentation for new provider joins, terms, and provider change requests

· Ensures that new SHCN providers are effectively supported throughout the on-boarding process and acts as a central point of contact when issues arise that require escalation

· Escalates concerns to Regional Director of Operations when appropriate in a timely fashion

· Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment.

· Commits to recognizing and respecting cultural diversity for all customers (internal and external).

30%

3

The Provider Relations Coordinator will provide office support and services by implementing administrative systems, procedures and policies, and monitoring administrative project within their respective region. They will provide high-level administrative support by conducting research, preparing reports, handling information requests, and performing clerical functions.

· Ongoing provider orientation and support

· SARF-System Access Request Forms

· Schedule meetings and send invites/agendas, arrange for food, schedule room under the guidance of the Regional Director of Operations

30%

4

Performs other duties as assigned.

N/A

Education / Experience / Other Requirements

Education:

· BS/BA or equivalent experience

Years of Experience:

· Minimum of 2 years of experience in managed care and physician practice support role

Preferred Experience:

· Preferred understanding of the health care delivery setting including both hospital and physician reimbursement and claims processing

· Preferred understanding of risk-based reimbursement in commercial and government programs healthcare programs

· Preferred understanding of care management initiatives and programs

Specialized Knowledge:

· Demonstrated written and oral communication skills

· Demonstrated ability to work independently and as a team

· Familiarity with MS Office and various business software (e.g. Salesforce)

· Proven ability to learn new information systems as necessary

· Travel may be required to respective practice and hospital locations

Physical and Mental Demands

These physical and mental demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Examples Only:

· Must be able to effectively communicate with internal and external customers via telephone and email.

· Able to accurately receive information through oral communication.

· Able to accurately review data and figures both in hard copy and electronic formats.

· Utilize a computer (including but not limited to a mouse and keyboard) and telephone intermittently throughout entire shift, for periods of up to four (4) hours at a time.

· Able to accurately sort through data and think through issues in a time?pressured environment.

· Able to focus on a specific event or activity for up to four (4) hours at a time without interruption.

· Able to maintain a calm and collected presence while addressing the concerns from an internal and external customer

· Able to accurately learn and retain new information, knowledge and skills.

· Able to efficiently manage multiple tasks, with varying degrees of priority, at the same time.

Disclaimer: The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job.



No.

Essential Duties and Primary Accountabilities: Listing of the major functions of the role including percentage of time allocated to each function.

Should include all duties required to complete the job.



1

The Provider Relations Coordinator under the guidance and supervision of the Regional Director of Operations will be responsible for disseminating internal communications and deliverables from the SHCN internal business and operational teams to the appropriate stakeholders at their respective practice locations.

· Communicates regularly through various communication methodologies, including one on one or group meetings, with local practice staff consistent with the key messages disseminated from the SHCN internal business and operational teams



2

The Provider Relations Coordinator has knowledge on all PCPs and Specialists within the assigned region, including key information such as group membership, affiliates, and historically contextual elements.

· Maintains the documentation for new provider joins, terms, and provider change requests

· Ensures that new SHCN providers are effectively supported throughout the on-boarding process and acts as a central point of contact when issues arise that require escalation

· Escalates concerns to Regional Director of Operations when appropriate in a timely fashion

· Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment.

· Commits to recognizing and respecting cultural diversity for all customers (internal and external).



3

The Provider Relations Coordinator will provide office support and services by implementing administrative systems, procedures and policies, and monitoring administrative project within their respective region. They will provide high-level administrative support by conducting research, preparing reports, handling information requests, and performing clerical functions.

· Ongoing provider orientation and support

· SARF-System Access Request Forms

· Schedule meetings and send invites/agendas, arrange for food, schedule room under the guidance of the Regional Director of Operations



4

Performs other duties as assigned.



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