Conduent Healthcare Field Representative in San Diego, California
Healthcare Field Representative
Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation, analytics and constituent experience. We work with both government and commercial customers in assisting them to deliver quality services to the people they serve.
We manage interactions with patients and the insured for a significant portion of the U.S. healthcare industry. We are the customer interface for large segments of the technology industry and the operational and processing partner of choice for public transportation systems around the world.
Whether it's digital payments, claims processing, benefit administration, automated tolling, customer care or distributed learning - Conduent manages and modernizes these interactions to create value for both our clients and their constituents. Learn more at www.conduent.com .
Medicaid / Claims experience
Current California driver’s license and clean DMV report required
Experience in conducting public speaking events/training
Exceptional written and verbal communication skills
Must live within 15-50 miles radius of San Diego area.
Ability to lift 20-25 pound boxes
Have home internet
Prefer Bachelor’s degree
Tasks and Responsibilities
Maintains consistent communications with providers, including the communication of policy changes and updates
Coordinates and conduct orientations and training for newly enrolled providers and established providers to ensure provider understands their roles and responsibilities, billing procedures, and program policies
Maintains working knowledge of the CA-MMIS contract and procedures, and able to communicate information to the external (provider community) and internal customers
Maintains schedule of regular provider office visits for goodwill and problem-solving efforts
Maintains documentation of provider visits, provider communications (verbal and written), and any necessary follow-up activities and document into CRM
Recruits providers for participation in Medi-Cal and other state healthcare programs
Recruits providers for participation in computer media claims (CMC) submission and EFT
Assist in preparation and updating of provider publications
Designs and develops workshop, in-service, and conference materials
Develops education materials to include articles for bulletins, flyers, and any necessary correspondence to assist educate provider on Medicaid issues
Contacts providers with identified billing issues to offer onsite service/visit
Participates in local medical community organizations as public relations effort
Participates in or leads cross-functional teams focused on the delivery of new or existing projects.
Plans and directs schedules and may monitor budget/spending.
Monitors the project from initiation through delivery.
Organizes the interdepartmental activities ensuring completion of the project on schedule and within budget constraints.
Responsible for coordinating the delivery of professional services to customers.
Responsibilities include the overall planning, organizing, directing, controlling and delivery of all projects prioritized in alignment with the client’s expectations and business needs.
Performs all other duties as assigned Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form at https://downloads.conduent.com/content/usa/en/file/conduent-applicant-adaaa-referral-form.pdf .
Job Project Management
Primary Location United States-California-San Diego
Unposting Date Ongoing
Req ID: 18009209