Field Representative & Trainer

About the Role

The Field Representative & Trainer plays a pivotal role in fostering positive provider relations and elevating the customer service experience. In addition, you will serve as the key conduit for provider education coordination, driving quality improvement initiatives, and ensuring a thorough understanding of Medicaid policies. You will be working with providers and networks using knowledge of Medicaid rules and regulations and will be responsible for onsite visits and provider education through specialized training, conducting in person workshops, and webinars. This is a hybrid position. Applicants must reside within the state of Wyoming. We are seeking candidates in the Cheyenne area who can work in the office and perform field work in the surrounding area, or candidates located elsewhere in Wyoming who are not within commuting distance of Cheyenne and can work remotely while completing field work in their local area.

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

Required Qualifications

• Requires a high school diploma or equivalent
• Minimum of 3 years of experience in provider relations/education or customer service
• Prior experience working in the healthcare industry such as working with provider networks, insurance or healthcare rules and regulations
• Proficient in creating and delivering educational training courses
• Strong organizational and time management skills, with the ability to work independently, prioritize tasks, manage workload, and meet tight deadlines in a fast-paced environment
• Must have reliable transportation for field work

Preferred Qualifications

• Bachelor's degree in communication, education, or related business field
• Comfortable with and be skilled in public speaking, training, and presenting in front of an audience
• Computer literate using standard tools (Microsoft Word, Excel, PowerPoint, Adobe, and Outlook) and inquiry through web portal applications
• Bilingual in Spanish

Experience In Lieu Of Degree

For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree.

Compensation

USD $50,640.00 - USD $57,000.00 /Yr.