Provider Relations Billing & Education Field Representative

Job description

Provider Relations Billing & Education Field Representative Location: Rio Grande Valley of Texas Job Summary As a Provider Relations Billing & Education Representative, you will serve as a crucial liaison between Medicaid Providers and the Managed Health Plan (MHP). You will work closely with internal and external stakeholders, including provider group associations and various organizations, to provide guidance, resolve issues, and ensure smooth communication regarding Medicaid programs and policies. You will be responsible for assisting with provider enrollment, recruitment, and retention efforts while performing critical education and billing support. You will maintain a high level of professionalism, strong communication, and effective time management to ensure that all tasks and duties are completed on time and to the satisfaction of all parties. Key Responsibilities Act as a liaison between Medicaid Providers and MHP, ensuring smooth communication and resolution of any issues Research, address, and resolve provider requests, questions, and concerns regarding Medicaid programs Provide clear and actionable resolutions, offering root cause analysis for provider inquiries Stay updated with MHP website education materials, basic portal knowledge, and problem-solving resources to support providers Educate providers on policies, procedures, and billing processes related to Medicaid Maintain a thorough understanding of Medicaid programs and regulations to ensure accurate and timely support for providers Utilize available resources to perform thorough research and assist providers with timely solutions Ensure all customer requests are handled effectively, maintaining high customer satisfaction Meet all contractual obligations while fostering positive interpersonal relationships with program participants Participate in scheduled meetings and events on time, managing time efficiently throughout the workday Communicate consistently with internal teams, external providers, associations, and stakeholders about Medicaid policies and processes Support ongoing efforts to improve the provider experience and resolve technology or process-related frustrations when necessary Complete tasks and assignments in a timely manner while maintaining professionalism and a strong work ethic Perform additional duties as assigned by management Job Requirements Reliable transportation for travel within the assigned territory - Rio Grande Valley of Texas Counties ServedBrooks, Cameron, Duval, Hidalgo, Jim Hogg, Jim Wells, Kenedy, Kleberg, Starr, Webb, Willacy, Zapata Basic Qualifications Minimum of 3 years of healthcare adminstration experience Minimum of 1 year of experience in Medicaid, Medicaid Managed Care, and/or Health Plan Managed Care Preferred Qualifications Strong working knowledge of Medicaid Managed Care or commercial health plan managed care Experience with billing in a hospital or healthcare setting Project management experience is a plus Proficiency in Microsoft Office, especially Word, Excel, and PowerPoint Bachelor's degree in a related field Professional Qualifications Effective Communication: Ability to interact professionally with various stakeholders, including providers, internal teams, and external organizations Time Management: Must be able to manage multiple tasks, attend scheduled events and meetings, and meet deadlines Problem-Solving: Strong critical thinking skills to address provider concerns and resolve issues in a timely and efficient manner Customer Service Orientation: A focus on maintaining high levels of customer satisfaction, especially when dealing with inquiries or frustrations Attention to Detail: Accuracy in handling Medicaid policies, billing information, and other administrative duties Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired as set forth below. We anticipate this job posting will be posted until 10/20/2026. Accenture offers a market competitive suite of benefits including medical, dental, vision, life, and long-term disability coverage, a 401(k) plan, bonus opportunities, paid holidays, and paid time off. See more information on our benefits here: U.S. Employee Benefits | Accenture Role Location Hourly Salary Range California $26.39 to $63.13 Colorado $26.39 to $54.52 Connecticut $26.39 to $54.52 District of Columbia $28.08 to $58.08 Illinois $24.42 to $54.52 Maine $22.45 to $46.44 Maryland $26.39 to $54.52 Massachusetts $26.39 to $58.08 Minnesota $26.39 to $54.52 New York $24.42 to $63.13 New Jersey $28.08 to $63.13 Ohio $24.42 to $50.48 Virginia $24.42 to $58.08 Washington $28.08 to $58.08 About Accenture Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities.Visit us at www.accenture.com What We Believe We have an unwavering commitment to diversity with the aim that every one of our people has a full sense of belonging within our organization. As a business imperative, every person at Accenture has the responsibility to create and sustain an inclusive environment. Inclusion and diversity are fundamental to our culture and core values. Our rich diversity makes us more innovative and more creative, which helps us better serve our clients and our communities. Read more here Requesting An Accommodation Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired. If you would like to be considered for employment opportunities with Accenture and have accommodation needs such as for a disability or religious observance, please call us toll free at 1 (877) 889-9009 or send us an email or speak with your recruiter. Equal Employment Opportunity Statement We belie