Bilingual Spanish - Provider Relations Specialist

  • Achieve Beyond
  • Forest Hills, Queens, NY, USA
  • Nov 11, 2021
Full time Health Care

Job Description

Job Summary: 

The role of the Provider Relations Specialist is to establish a supervisory relationship with salaried therapists, manage performance productivity, and serve as a liaison for salaried providers and other internal departments.

Responsibilities:

  • Establish and maintain a supportive relationship with salaried providers.
  • Work closely with internal departments and salaried providers to ensure documentation and services are completed and submitted according to EI rules and regulations, and received in a timely manner.
  • Notify and update salaried providers of all changes regarding EI regulations, service provision, and QA changes.
  • Effectively analyze, monitor, and manage therapist productivity and caseload, ensuring the maximum productivity and billing potential per salaried provider.
  • Manage provider performance and complete annual reviews
  • Approve reimbursements; approve monthly bonus (overtime) pay; approve/monitor paid time off.
  • Review therapist performance throughout the year and implement disciplinary action if and when needed.
  • Mediate issues and concerns raised by salaried providers, or internal staff regarding salaried provides including but not limited to the following program and corporate departments: Case Management, Evaluations, Billing, Immigration, Clinical Supervision, and Human Resources departments.
  • Hold individual meetings with salaried therapists as needed, to discuss work performance, assignment of cases, relocations, etc. 
  • Follow-up with salaried providers continuously; conduct heavy e-mail and phone contact with therapists as well as office staff.  
  • Perform new hire orientations for salaried providers, and conduct re-trainings as needed.
  • Day to day trouble shooting
  • Work with Compliance/Credentialing to ensure provider compliance
  • Perform special projects as assigned

Education and/or Work Experience Requirements: 

  • Bachelor's Degree in related field
  • Successful experience working in a high volume work environment where organizational and multi-tasking skills are essential

Other Requirements:

  • Excellent interpersonal skills; the ability to interact with a broad spectrum of people
  • Strong interpersonal communication - verbal and written - skills are required.
  • Ability to multitask and work in a fast-paced environment
  • Self-motivated with excellent work ethic.
  • Take initiative and be a decision maker
  • Strong analytical skills
  • Strong typing skills and knowledge of Word, Excel, and customized databases
  • Bilingual Spanish 

Benefits: 

  • Medical/Dental/Vision Coverage
  • Personal and Sick Time
  • Paid Holidays
  • 401k with matching
  • Long term/Short term disability
  • Generous sign on bonus
  • Employee Recognition Events
  • and so much more!

Our Company: Achieve Beyond is a national Pediatric Therapy and Autism Services agency. With offices in New York (Metro area/Long Island, Hudson Valley & Albany), New Jersey, Virginia/DC area, Connecticut, Minnesota, Maryland, Delaware, and California (greater Los Angeles & Orange County, and San Diego). Achieve Beyond provides quality evaluation and therapy services such as special education, autism services, speech, physical, and occupational therapies to children birth through twenty-one years of age via telehealth, in clinic and in homes and the community.

Our Mission: We believe that all children have potential.  We are guided by the mission to support children with special needs to Achieve Beyond their current abilities.  We are always striving for continuous improvement by setting goals and measuring performance.  It is the reason we will succeed together.