Top 459 Support representative Jobs in Wheeling, Wv

Dental Field Provider Relations Representative - West Virginia
SKYGEN USA —West Virginia
- $62,676 - $94,014 a year
- Full-time
- Dental office
- Microsoft Excel
- Mid-level
8d
Technician II - Building Services
WesBanco Bank, Inc. —Wheeling, WV
- Overtime
- Background check
- Basic math
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Terminal Clerk
Kenan Advantage Group —Bloomingdale, OH
- Monday to Friday
- Computer literacy
- Office
- High school diploma or GED
10d
Enrollment Service Rep
The Health Plan of West Virginia Inc —Wheeling, WV
- Overtime
- Computer literacy
- Basic math
- High school diploma or GED
Quick Apply
2d
Registration Specialist
WH Wheeling Hospital Inc. —Wheeling, WV
- Full-time
- Hospital
- High school diploma or GED
- Criminal background check
1d
Dispatcher
Bill's Towing and Recovery —Saint Clairsville, OH
- $15 - $17 an hour
- Full-time
- Analysis skills
- Typing
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
Field Services Representative
Boldyn Networks —North Park, WV
- $25 - $30 an hour
- Weekends as needed
- Google Workspace
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Parental leave
14d
ER Registrar
WH Wheeling Hospital Inc. —Wheeling, WV
- Full-time
- High school diploma or GED
- Criminal background check
- Computer skills
Customer Service Representative
UNIFIED BANK —Colerain, OH
- Full-time
- Computer literacy
- Office
- High school diploma or GED
15h
Customer Service Representative - St Clairsville Main
WesBanco Bank, Inc. —Saint Clairsville, OH
- Microsoft Outlook
- Computer literacy
- Office
Customer Service Representative - State Farm Agent Team Member
Taylor Shepherd - State Farm Agent —Moundsville, WV
- $18 an hour
- Full-time
- Office
- Communication skills
- Entry level
- Profit sharing
- 401(k)
Quick Apply
Terminal Clerk
KAG ENERGY LLC —Bloomingdale, OH
- Monday to Friday
- Computer literacy
- Office
- High school diploma or GED
Customer Service Representative Lead - Elm Grove
WesBanco Bank, Inc. —Wheeling, WV
- Microsoft Outlook
- Computer literacy
- Mid-level
Admissions Counselor
Belmont College —Saint Clairsville, OH
- Full-time
- Word processing
- Public speaking
- Mid-level
Quick Apply
Unit Secretary
RMH Reynolds Memorial Hospital —Glen Dale, WV
- Full-time
- Hospital
- Computer literacy
- Administrative experience
Surgical Center FT Patient Care Tech-Non-Cer
WH Wheeling Hospital Inc. —Wheeling, WV
- Full-time
- Surgery
- Hospital
- High school diploma or GED
Lab Clerk
WH Wheeling Hospital Inc. —Wheeling, WV
- Full-time
- Hospital
- Computer literacy
- High school diploma or GED
12d
Human Resources Specialist - Human Resources
WesBanco Bank, Inc. —Wheeling, WV
- Remote
- Microsoft Excel
- Microsoft Outlook
- OSHA
FT PCT Preop Clinic M-F
WH Wheeling Hospital Inc. —Wheeling, WV
- Full-time
- Hospital
- High school diploma or GED
- Clinic
2d
Production Worker - 6:30am-3pm M-F
Highline Warren —Glen Dale, WV
- Monday to Friday
- Ability to climb stairs
- Entry level
- Under 1 year
Quick Apply

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Dental Field Provider Relations Representative - West Virginia

SKYGEN USA -
West Virginia

Apply Now

Job Details

Full-time
$62,676 - $94,014 a year
8 days ago

Qualifications

Customer relationship building
Client relationship development
Medicaid health insurance
Medicaid
Productivity software

Full Job Description

What are important things that YOU need to know about this role based in West Virginia?

Seeking a self-driven rock star that has Medicaid experience - located in West Virginia.
Given the nature of the work, the person will be in field 3 to 4 days per week and working from a home office the remainder of the time.

What will YOU be doing for us? Provide support to specific market by researching, working with internal staff, and providing resolution to high value providers. Utilize knowledge of market and potential providers to resolve specific network deficiency issues through proper recruiting practices.

What will YOU be working on?

Build and maintain appropriate relationships with provider network by ensuring regular communications and timely problem resolution.
Conduct annual dental office visits.
Conduct site audit data collection.
Conduct mobile unit audits.
Develop training and presentation materials relative to market needs.
Host regular training sessions for new and existing providers.
Promote use of Dental Hub (provider web portal).
Act as resource to both client and providers in the network to resolve complex claim and authorization issues.
Utilize the provider-related modules in the Enterprise System to research claim and reimbursement questions.
Accurately and timely assess issues presented from provider offices that can be handled by other internal resources and provide offices with appropriate contacts to obtain resolution.
Utilizing follow up requests from internal staff or client direction, recognize potential market deficiencies and network to obtain referrals for potential providers.
Recruit and work with potential providers to discuss potential contract terms or negotiations needed to resolve network deficiencies.
Through establishment of positive relationships with providers in the geography, arrange care with out of network providers for single case agreements including recommending a provider, negotiating the fee and securing the single case agreement contract.
Using automated systems, maintain updated data on client owned provider networks by verifying accuracy and handling any exceptions or issues.
Coordinate and conduct provider advisory board meetings.
Identify appropriate community relationships and develop partnerships designed at increasing visibility of client programs.
Support Credentialing and Network Development strategies.

Additional Responsibilities:

Provide feedback to Provider Relations team regarding potential topics for provider training references and materials.
Assist department with administrative tasks and additional duties as needed.
Work with Clients and Providers to analyze market, system and operational trends and develop and propose solutions and interventions to improve the client/provider/member experience and/or reduce costs.
Document provider communication within organization applications.
Work with Clients and Providers to analyze market, system and operational trends and develop and propose solutions and interventions to improve the client/provider/member experience and/or reduce costs.

What qualifications do YOU need to have to be GOOD candidate?

Bachelor’s degree in a related field or equivalent years of experience.
3-5 years of job related experience (provider relations, account management, or managed care).
Excellent communication written and verbal communication skills.
Ability to think strategically regarding the direction of the market, provider needs and the client relationship.
Ability to build and maintain collaborative working relationships with diverse individuals.
Ability to exercise influence without formal authority.
Ability to ensure timely problem resolution despite multiple priorities.
Intermediate knowledge of Microsoft Office products including Word, Excel, and email.

What qualifications do YOU need to have to be GREAT candidate?

Bachelor’s Degree in Business or a related field.
Experience in a managed care environment.
Experience working in the field or with field issues.
Experience with government dental programs.

Pay: $62,676.00 - $94,014.00 per year

Work Location: On the road

Apply Now

Refine Your Search

support representative jobs in wheeling, wv

Dental Field Provider Relations Representative - West Virginia

Technician II - Building Services

Terminal Clerk

Enrollment Service Rep

Registration Specialist

Dispatcher

Field Services Representative

ER Registrar

Customer Service Representative

Customer Service Representative - St Clairsville Main

Customer Service Representative - State Farm Agent Team Member

Terminal Clerk

Customer Service Representative Lead - Elm Grove

Admissions Counselor

Unit Secretary

Surgical Center FT Patient Care Tech-Non-Cer

Lab Clerk

Human Resources Specialist - Human Resources

FT PCT Preop Clinic M-F

Production Worker - 6:30am-3pm M-F

I want to receive the latest job alert for support representative in wheeling, wv

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