PROVIDER RELATIONS SPECIALIST at Liberty Healthcare Management – Wilmington, North Carolina

There’s no place like Liberty Health

Come explore career opportunities with Liberty Health, a dynamic leader in the healthcare industry. Join us!

We are currently seeking an experienced:

PROVIDER RELATIONS SPECIALIST

Full Time, Days

JOB SUMMARY:

• Creates and distributes financial reviews for LMA LMA-participating SNFs and Providers
• Investigates, resolves, and communicates Provider questions, issues, and/or changes.
• Implements procedures and instructions based on Medicare guidelines for LMA providers
• Act as the primary liaison between key departments within LMA to establish meetings with LMA SNFs.
• Supports development and management of provider networks
• Responsible for maintaining and reporting enrollments/dis-enrollments to the key players within LMA and Liberty
• Compiles and Distributes monthly roster reports to appropriate personnel

JOB REQUIREMENTS:

• Bachelor’s Degree preferred
• A minimum of 3 years Medicare/Medicaid experience
• A minimum of 3 years nursing home experience
• A minimum of 3 years provider relations and/or provider network experience
• Knowledge of 1500 and UBO4’s
• Proficiency with MS Word, Excel, PowerPoint, Outlook, Teams
• Must be willing and able to travel extensively within North Carolina
• Active Health & Life Insurance license preferred
• Ability to support growth via multiple lines of communications using various platforms. Working together with both operations staff as well as sales.
• Knowledge of sales and marketing materials used in the field to promote plan growth.
• Medicare Advantage experience preferred or other relevant healthcare products.
• Must have valid state driver's license and auto insurance
• Must reside in North Carolina or be willing to relocate to the area
• Willing and able to travel to complete mailings, ordering of supplies, print shop pickups, occasional sales presentation setups.
• Working knowledge of relevant federal and state regulations and requirements
• Excellent communication and customer service skills with the ability to show compassion.
• Thorough knowledge of Medicare, Medicaid, Health Care Industry, and Provider Network
• Able to multitask and prioritize work while maintaining a professional and positive attitude
• Creative problem solver with solid organization and analytical skills