Provider Relations LPN

About the role

We are seeking a detail-oriented and communicative Provider Relations LPN to join our team. This role serves as a critical liaison between our organization and healthcare providers, ensuring that all clinical notifications and communications are accurate, complete, and compliant.

Responsibilities

• Review provider notifications and correspondence submitted by teams for clinical accuracy and appropriateness.
• Identify discrepancies, missing information, or medical necessity concerns, and escalate or resolve as appropriate.
• Collaborate with internal departments (e.g., Outbound, Inbound, C&E, Triage) to ensure timely and accurate resolution of provider concerns.
• Aid in interpreting and explaining clinical guidelines, protocols, and policies to teams to support learning and provide coaching opportunities.
• Collaborate with Client Success to support provider relationships and problem solve any issues.
• Maintain accurate records of communications and clinical reviews in accordance with company policies and applicable regulations.
• Contribute to the continuous improvement of workflows and communication strategies related to provider engagement.

Requirements

• Active, unrestricted LPN COMPACT license. Willing to obtain additional licensure as needed by the business.
• Strong understanding of clinical documentation, terminology, and HIPAA.
• Excellent verbal and written communication skills, with the ability to clearly convey clinical information to both clinical and non-clinical audiences.
• Ability to multitask and assist in different areas as needed.
• Meet productivity requirements established by the company.

Qualifications

• Active, unrestricted LPN COMPACT license.
• Willing to obtain additional licensure as needed by the business.
• Strong understanding of clinical documentation, terminology, and HIPAA.
• Excellent verbal and written communication skills, with the ability to clearly convey clinical information to both clinical and non-clinical audiences.
• Ability to multitask and assist in different areas as needed.
• Meet productivity requirements established by the company.

Skills

• Strong understanding of clinical documentation, terminology, and HIPAA.
• Excellent verbal and written communication skills.
• Ability to multitask and assist in different areas as needed.

Benefits

• Not specified

Pay

• $20.00 an hour

Schedule

• Not specified