• Answer incoming phone calls, emails, and contacts as requests come in, and appropriately screen, transfer, resolve and dispose of calls expeditiously while adhering to all process and documentation standards • Review, process, schedule and authorize orders according to department protocols • Ensure that appropriate and timely documentation of all updates, encounters, and communication is documented in source systems as outlined by department protocols • Effectively coordinate the scheduling of participants’ appointments, including trouble-shooting conflicts or urgent needs, communicating with all stakeholders (staff, family, providers, etc.), and meeting appointment turn-around times as outlined in WelbeHealth Appointment Scheduling Protocol • Provide eligibility status and benefit information for participants • Address both participant and provider inquiries (Including authorization status and requirements) and if unable to resolve, escalate as appropriate

Job Description: Summary: This position serves as the primary contact between Providers and the organization. The position is responsible for servicing assigned providers within a defined geographic market. Key responsibilities include educating and servicing physicians, dentists, hospitals and ancillary providers within established guidelines. This position works closely with all other internal departments including sales, medical, operations and network management. As a key representative of the corporation, this position is expected to maintain strong communication and build positive working relationships with local physicians, hospitals and ancillary providers. Essential Accountabilities: Level I · Recruit and retain all provider types to ensure network adequacy. · Facilitates provider education and training through documented face-to-face and virtual visits, educational forums, and orientations in order to increase Provider’s knowledge and satisfaction with the terms of their contract as well as Health Plan's benefits products, policies, programs, systems, new programs and products. · Provides orientation and training for all newly enrolled providers and their staff as well as annual training to the overall provider community. · Educates providers on care management programs, policies, and quality initiatives including but not limited to UM programs, case and disease management, HEDIS, risk adjustment and affordability programs in order to improve compliance, quality, efficiency, cost and program participation. ·Travel occasionally to community events and/or provider meetings outside of standard business hours to support relationship building and outreach efforts within the community. This flexible schedule, including some evenings or weekends, may be necessary to support the department. Travel is determined based on provider needs and may be required up to 25% of the time. This includes in-person visits to provider offices, meetings, training, and relationship-building activities as needed. · Coordinates with Medical policy and prior authorization teams to analyze and present data to providers in order to improve participation and/or compliance within established programs guidelines and enhance member health. · Builds physician, provider and facility relationships and satisfaction by conducting service visits both in response to provider requests and proactively on behalf of the organization. Plans, initiates, develops, coordinates, schedules and documents visits in conformance with department standards and geographic assignment. ·Encourages participation in annual physician and office manager satisfaction surveys. · Identifies and communicates trends that impact provider satisfaction. · Maintains awareness of competitive activity through relationships developed with providers and their office staff. On an ongoing basis, as part of monthly reporting, documents and shares information regarding market position including all competitive intelligence that would enable the organization to position ourselves favorably, as well as successfully respond to provider needs. · Provides expertise and assistance with guidelines relative to provider billing and payment, encouraging participation with programs and procedures designed to create operational efficiencies. Ensures that changes in billing procedures are communicated on a timely basis to all providers. Provides accurate feedback to internal departments to improve accuracy of system interfaces. · Serves as an internal expert and develops working relationships with internal departments in order to facilitate workflows and coordinate appropriate resources for problem resolution for providers. · Assists in the development of effective provider tools, educational materials and communications in conjunction with Provider Communications. Hosts provider educational events face to face. · Ensures that processes are being appropriately documented to support maintenance of the business. · Assists with training and mentoring of peer Provider Relations Representatives as needed to ensure departmental success. · Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct and leading to the Lifetime Way values and beliefs. · Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. · Regular and reliable attendance is expected and required. · Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) · Represents the Provider Relations department on Health Plan projects/initiatives. · Represents the Provider Relations department at Regional and Health Plan meetings as assigned by management. · Develops, coordinates, and leads provider educational activities. · Acts as the subject matter expert and point of contact for the department. · Provides leadership and guidance to junior Provider Relations Representatives. Level III (in addition to Level II Accountabilities) · Leads Health Plan projects/initiatives that have a direct impact on improving provider satisfaction. · Leads Provider Relations efforts to drive network and quality improvement. · Represents Provider Relations Management, as assigned, in governance structure forums and strategic projects. · Develops and nurtures positive relationships with strategic high-profile providers, including full health system, provider partners and ACQA providers. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels · Bachelor’s degree in Business Administration, Health Care Administration or relevant field. Minimum of two year’s relevant and progressive business experience working in managed care or other health care related field with significant interface with physicians and hospitals. In lieu of degree, individual must have experience that includes handling of escalated executive inquiries, training and/or presentations for staff or external customers. · Demonstrated experience with moderately complex projects that involve both written and verbal responses to physician or hospital inquiries. · Strong, persuasive and effective communication skills including previous experience with delivering communication to physicians and hospitals. · Experience in preparing and delivering oral presentations to individuals and small and large group audiences. · Understanding of medical care delivery and local market dynamics. · Familiarity with provider contracts and operational policies and procedures. · Understanding of products and services offered to Members. · Understanding of claim processing systems including provider file and claim workflows. · Knowledge of care management programs and their impact to Providers and Members. · Strong interpersonal skills with ability to interface effectively both externally and internally with a wide range of people including physicians, office staff and other health plan staff. · Excellent problem-solving skills with effective follow through. · Strong verbal and written communication skills; organizational and project management skills. Level II (in addition to Level I Qualifications) · Minimum of 4 year’s relevant and progressive business experience working in managed care or other health care related field with significant interface with physicians and hospitals. · Demonstrated experience with complex and high-profile projects that involve both written and verbal responses to physician or hospital inquiries. · Working knowledge of provider contracts and operational policies and procedures. Level III (in addition to Level II Qualifications) · Minimum of 6 year’s relevant and progressive business experience working in managed care or other health care related field with significant interface with physicians and hospitals. · Demonstrated experience with highly complex and high-profile projects that involve both written and verbal responses to physician or hospital inquiries. · Subject matter expert in care management programs and their impact to Providers and Members. Physical Requirements: • Ability to work while sitting and/or standing while at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time. • Ability to work in a home office for continuous periods of time for business continuity. • Ability to travel across the Health Plan service region for meetings and/or trainings as needed. • Must have a valid Class D license and ability to operate a motor vehicle. • The ability to hear, understand and speak clearly while using a phone, with or without a headset. ************ In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade N7: Minimum $23.56 - Maximum $37.70 Level II: Grade N8: Minimum $26.89 - Maximum $43.02 Level III: Grade N9: Minimum $29.57 - Maximum $47.32 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position’s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: Scheduled Weekly Hours: 40 Salary Range: $16.25 - $23.00 Union Position: No Department Details This position requires 6 months of in person training and then allows for remote work. Summary Join our Sanford Patient Access Family and Grow the Good! As a Patient Access Representative, your primary responsibility will be providing extraordinary customer service to patients with every interaction. With being the first point of contact, you will have the opportunity to provide a positive patient experience by creating a welcoming and safe environment, either on the phone or in the clinic. Apply today to learn more about the opportunities available to grow your career at Sanford. Job Description REGISTRATION - Greet patients & verifies demographics - Creating, scanning & routing documents or electronic forms - Inform patients what the document is & capture signatures on necessary paperwork - Establishes and assigns financial responsibility and assists with arrangements while adhering to appropriate policies and procedures - Collects co-payments, pre-payments, and payments on account balances - May work through the registration work queue to address and resolve registration errors or denied insurance claims SCHEDULING - Work with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule - Obtain and coordinate referrals & conduct pre-authorization - Arrange interpreter services - Check patients in/out - Operate multi-line phone - May resolve work queue issues, manage recall and waitlists, & serve as switchboard operator calling codes and paging providers ADDITIONAL DUTIES MAY INCLUDE - Preparation & coordination of charts - Organize supporting provider documents - Initiation & collaboration of patient financial assistance - Track patient visits & health information management on patient accounts - Compile, distribute, administer, and score assessments - Coordination of Telemed appointments - Reminder calls for appointments - Hospital admission - Office duties, such as make copies or send faxes Qualifications High school diploma or equivalent preferred. Post-secondary education helpful. One year of work experience, preferably in a medical office setting. Medical terminology helpful; customer service skills essential. Six months' customer service experience desired. May require BLS for certain locations and/or settings. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Are you looking for an uncapped commission-based career and the ability to write your own paycheck? Look no further - our Sales position may be the right opportunity for you. This career path will be challenging yet rewarding for the right individuals. We are ready to invest in your success from day one. - Answer inbound and outbound calls to prospective customers - Average 20-30 calls per day with an expectation of closing 25% of inbound calls - Identify the needs of prospective customers and sell the motor vehicle contract that best protects their investment - Strive to successfully complete a one-call close - Masterfully overcome objections by leveraging rebuttal tactics - Persuasively educate consumers on the benefits and value of a vehicle service contract - Remain open to constructive feedback, training, and mentorship from managers and leaders - Work effectively as a team player, contributing to a positive environment - Being interactive and communicative with management and co-workers in a visible manner is an essential function of the job; therefore, camera usage is required for training, team meetings, and meetings with management - Other duties, as assigned Qualifications - 1–3 years of experience in commission-based or performance-driven sales, preferably in a call center environment - Strong negotiation, persuasion, and contract-selling skills - Confident communicator with excellent verbal and written communication skills - Effective problem-solver with strong active listening and rapport-building abilities - Competitive, goal-oriented mindset with a proven track record of meeting or exceeding sales metrics - Resilient and adaptable—able to bounce back from setbacks and stay motivated - Positive, can-do attitude with a desire for continuous growth and improvement - Strong organizational skills with the ability to multitask and prioritize in a fast-paced environment - Computer savvy with experience using CRM systems - High school diploma or GED required - Bilingual in English and Spanish is a strong plus - Property & Casualty license preferred (or willingness to obtain) Requirements - Compensation is 100% commission, and the average salary ranges from $125k to $150k annually - The candidate(s) offered this position will be required to pass a pre-employment background check - Endurance is an E-Verify employer - Sitting or standing for extended periods; repetitive motions; use hands to handle equipment or controls; reach with hands and arms; typing on keyboard; viewing computer screen extended periods; speak clearly and hearing - Regular use of typical office equipment, computer software, programs, and methods of communication such as a computer, e-mail, phone system, and messaging - In a remote work environment, being interactive and communicative with management and co-workers in a visible manner is an essential function of the job. Camera/video usage is required - Must be able to lift 25 pounds Benefits - Paid training - Work From Home Opportunity - Computer Equipment Provided - 401(k) with company match after 90 days of employment - Medical, Dental, and Vision Insurance - Voluntary Life Insurance - Internet Stipend - Paid Time Off - Holiday Pay