Community Accounts Representative

JOB SUMMARY:

Community Accounts Representative primary focus is targeting new provider markets, maintaining existing provider referral relationships, and office administration responsibilities for Trinity Social Services (TSS).

REQUIRED EDUCATION:

Minimum Bachelor’s degree in Healthcare (psychology, sociology, mental health), Business or a Related Field of Study. Years of experience in lieu of education may be considered.

PREFERRED EXPERIENCE:

1-2 years in case management, managed care or medical or behavioral health settings.

Experience with Medicaid and Medicare managed care plans.

JOB DESCRIPTION

• Responsible for maintaining, enhancing relationship between TSS and current providers and referrals.
• Meets regularly with potential providers, primarily via site visits, occasional video conferences to educate on agency services, assess new account, quality, and compliance.
• Attend local community events to create partnerships with local schools, clinics, healthcare providers, and neighboring hospitals.
• Conducts telephonic, face-to-face or office visits as required.
• Up to 60% Field TRAVEL will be required in the field to do marketing referral visits in the surrounding service areas. Travel will be within the metro Atlanta counties TSS serves to meet targeted needs.
• Evaluates provider community base and implement strategic plans with the goal of meeting TSS’ marketing adequacy standards.
• Responsible for resource planning for prework and marketing development efforts.
• Participates with the management team and other committees addressing the strategic goals of the department and organization.
• Participates in other marketing related special projects as directed.
• Outreach to providers, clinics, other health care agencies and input appointments.
• Prepare information for management on referral status summaries, success stories, etc. and participate in daily huddles, weekly meetings, and other scheduled events, internally, and with providers externally.
• Document accurately all phone calls, appointments and other referral related data, provider concerns, questions, or complaints.
• Perform various office administration duties.
• Ensures marketing and office performance goals are met.
• Home office with internet connectivity of high speed required.

KNOWLEDGE/SKILLS/ABILITIES

• Knowledge of state Medicaid/CHIP, Medicare, CMOs, and Marketplace Health Plan insurances.
• Must be organized and able to prioritize, plan, and handle multiple tasks simultaneously.
• Strong working knowledge of behavioral health terminology and healthcare landscape preferred.
• Excellent customer service, active listening, verbal and written communication skills, professional phone voice.
• Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software.
• Ability to problem solve, critically think to resolve marketing or business issues, and implement efficiencies for future.

Job Type:        Contract (permanent)

Pay Rate:        $18.00 - $22.00 per hour

                        Plus Incentive Base