Provider Success Support Specialist

Job Type

Full-time

Description

eBlu Solutions was founded in 2012 to help specialty medical practices manage the complex workflow associated with high-cost infusion and injection treatments. Simply put, our solution gets patients to treatment faster.

JOB SUMMARY

In this dynamic role as a Provider Relations Support Specialist, you will have the opportunity to support patient access to care through the support of healthcare providers, pharmaceutical company representatives, and healthcare service companies for specialty prescription drugs who can encounter reimbursement and billing challenges. The Provider Relations Support Specialist team focuses on supporting practices, accounts, and healthcare providers with the necessary support materials and education to seek coverage for therapy for appropriate patients.?

The Provider Relations Support Specialist is the primary liaison between the eBlu Solutions Provider Relations Success Team members and the eBlu Solutions portal. Responsible for supporting the team, maintaining positive relationships, resolving issues, and ensuring efficient communication. This role will involve assisting with provider inquiries, updating provider information, and coordinating with the team to ensure proper set-up across multiple platforms. Additionally, this role is working to develop the competencies to lead client meetings successfully and efficiently; interpret client needs and develop appropriate action and implementation plans; while working closely with the eBlu Solutions' Leadership team to monitor, assess, and identify strategies to enhance program processes.??This role may also be involved in special projects as needed to support the Provider Relations department. This position does not have any direct reports and will report to the Provider Relations Manager.

Note : This position will follow a hybrid model, with a minimum of 2 required in-office days.

Requirements

POSITION RESPONSIBILITIES

• Maintain accurate and up-to-date provider information in the company database
• Register and maintain practice and provider records in clearinghouses
• Supports, monitors, resolves pending activity in specific statuses within the eBlu Solutions workflow.
• Assist in the collection and verification of provider documentation and credentials
• Schedule and coordinate meetings, training sessions, and events for the Provider Relations Success Team
• Exhibits the ability to develop, maintain, and facilitate the education of the eBlu Solutions' portal capabilities and enhancements to healthcare providers
• Expertise in medical benefits and policy with an understanding of the dynamics of Buy and Bill and Specialty Pharmacy
• Understanding of pharmacy benefits and policy
• Exhibits the ability to provide live face-to-face and virtual engagements, using approved tools, to support and address questions to educate physician office staff on the use of the eBlu platform
• Support provider experience through collaboration with the Provider Relations Success Team
• Adapts and pivots for change and complexity
• Collaborate with internal stakeholders appropriately to share insights into customer needs, potential barriers, and payer issues / opportunities for product access
• Exhibits the ability to understand how to monitor Practice utilization of eBlu Solutions' services
• Address and resolve provider issues and concerns in a timely and effective manner
• Escalate complex issues to the Provider Relations Manager or appropriate team members when necessary
• Assist in monitoring and reporting on compliance-related issues
• Prepare reports, presentations, and other documentation as needed
• Collaborate with other departments to address provider needs and improve service delivery
• Participate in team meetings and contribute to the development of strategies to enhance provider relations
• Other duties and responsibilities as assigned by the supervisor based on business needs

REQUIRED EXPERIENCE :

PREFERRED QUALIFICATIONS :

PHYSICAL & TECHNICAL ENVIRONMENT

EBLU SOLUTIONS IS AN EQUAL OPPORTUNITY EMPLOYER - eBlu Solutions seeks talent from all backgrounds to bring diversity of thought, agility, and capability to our organization. We promote a working environment where all employees are treated and rewarded fairly. We do not tolerate any form of discrimination that adversely affects individuals or groups based on national origin, race, color, religion, sex, gender, sexual orientation, marital status, disability, age, or any other legally protected aspect of a person's identity.