Provider Relations Specialist - Bilingual Spanish/English

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Location: Forest Hills, New York

Posted: 2/28/2025

Location Name: Forest Hills

Wage Max: 24.00

Wage Min: 23.00

Our Ideal Bilingual Spanish/English Provider Relations Specialist

Are you detailed oriented and enjoy meeting deadlines? Have great time management and organization skills? Want to work for a company that has a strong mission of helping children with special needs?

Job Summary: Bilingual Spanish/English Provider Relations Specialistis to oversee service providers, monitor productivity/clinical fulfillment, performance, and serve as a liaison for providers and other internal departments.

Please note that this is not a remote position

Essential Duties and Responsibilities:

The role of the Provider Relations Specialist is to oversee service providers, manage performance productivity, and serve as a liaison for providers and other internal departments.

• Establish and maintain a supportive relationship with providers.

• Work closely with internal departments and 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 providers of all changes regarding EI regulations, service provision, and QA changes.

• Effectively analyze, monitor, and manage therapist productivity/clinical fulfillment and caseload, ensuring the maximum productivity and billing potential per provider.

• Manage provider performance and complete annual reviews

• Review reimbursements; review monthly bonus (overtime) pay, review provider invoices

• Mediate issues and concerns raised by providers, or internal staff regarding therapists including but not limited to the following program and corporate departments: Case Management, Evaluations, Billing, Immigration, Clinical Supervision, and Human Resources departments.

• Follow-up with providers continuously; conduct heavy e-mail and phone contact with therapists as well as office staff.

• Perform new hire orientations for providers and conduct re-training as needed.

• Day to day trouble shooting

• Work with Compliance/Credentialing to ensure provider compliance

• Perform special projects as assigned

• Other duties as assigned by manager

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.

Qualifications and other requirements

• Bachelor's Degree in related field preferred

• Bilingual Spanish/English a must

• Successful experience working in a high-volume work environment where organizational and multi-tasking skills are essential

• Excellent interpersonal skills; the ability to interact with a broad spectrum of people

• Ability to multitask and work in a fast-paced environment

• Self-motivated with excellent work ethic.

• Take the initiative and be a decision maker

• Strong analytical skills

• Strong typing skills and knowledge of Microsoft Office Suite

Physical Requirements of the Role

• Must be able to remain in a stationary position for prolonged periods of time up to 90% of the work day working on a computer/electronic device.

• The ability to observe details at close range (within a few feet of the observer).

• The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.

Benefits Include:

• Comprehensive medical, dental, and vision coverage, and 401k with employer match

• Short- and long-term disability coverage as well as life, flex spending, and commuter benefits

• Paid time off, sick time, and holiday pay

• Various Employee Discounts on Entertainment and Equipment

• Educational reimbursement and referral bonuses

• Structured initial training

• Monthly administrative events and so much more!

• Compensation: Full-time hourly non-exempt $23-$24 per hour

Hours: In office, Monday-Friday 9:00am-5:30pm

This job description is subject to change at any time. Achieve Beyond provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type regarding race, color, religion, age, sex, national origin, disability status, genetics, caregiver status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. If you are an individual with a disability requesting accommodation for the application process, please contact us for assistance.

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