Provider Relations Representative

Clearance Level
None
Category
Healthcare Claims
Location
Raleigh, North Carolina

REQ#: RQ63803

Travel Required: Less than 10%
Requisition Type: Regular

Essential Job Functions

  • Analyzes inquiries through use of personal knowledge of the particular functional subject matter. Augments knowledge with reference materials as needed.
  • Provides response and takes appropriate action to resolve. May interact directly with original requestor, advise others on how to respond or escalate to a higher level if needed.
  • Contributes to a shared knowledge database to facilitate response consistency and to document complex issue resolution.
  • Monitors customer inquiries for a specific functional area, tracks progress and resolution of escalated inquiries.
  • Assists less experienced staff in developing appropriate responses.
  • Attends and participates in conferences, seminars and meetings with Medicaid providers as needed.
  • Provides training support

Basic Qualifications

  • Bachelor’s degree or equivalent combination of education and experience.
  • Bachelor’s degree in business management or related field preferred.
  • Experience working with organizational functional and personnel.
  • Experience working with fax machines, computer software and telephone technology.
  • Experience working with help desk software.
  • 1 year Healthcare experience (claims, enrollment)

Other Qualifications

  • Business and analytical problem solving skills
  • Good communications skills.
  • Ability to work independently.
  • Ability to follow oral and written directions.
  • Ability to understand and apply regulations applying to functional area.
We are GDIT. The people supporting some of the most complex government, defense, and intelligence projects across the country. We deliver. Bringing the expertise needed to understand and advance critical missions. We transform. Shifting the ways clients invest in, integrate, and innovate technology solutions. We ensure today is safe and tomorrow is smarter. We are there. On the ground, beside our clients, in the lab, and everywhere in between. Offering the technology transformations, strategy, and mission services needed to get the job done.

GDIT is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.