About Company

Samaritan Ministries is a Biblical solution to health care. It is not insurance. We deliver authentic, compassionate, and personal service in the name of Christ to enable and inspire members to provide for one another’s medical needs through prayer, encouragement, and financial support.

From demonstrating Christ-centered compassion to modeling best practices in health care sharing, Samaritan Ministries is committed to keeping Jesus at the center of everything we do. The way we interact with our colleagues and engage with our members is a testament that we are ultimately serving Christ and His Kingdom.

Summary

To serve the members of Samaritan Ministries International (SMI) by acting as a liaison between members and healthcare providers. This role involves actively resolving existing provider issues and proactively building strong relationships with providers. The Regional Provider Access Manager will create long-term relationships with providers, engaging regularly with them to ensure that they are appropriately informed about Samaritan’s programs, services and the latest guideline updates. Ultimately, this role is responsible for SMI’s reputation with providers in their assigned regions.

Competencies

• Acting with Integrity, Empathy, and Compassion
• Collaborating with Others
• Neighbor Focus
• Pursuing Excellence
• Managing Resources
• Problem Solving
• Planning and Organizing
• Attention to Detail
• Digital Literacy
• Negotiating
• Fostering Communication

Key Responsibilities

• Gather, review, and verify relevant information relating to participating providers.
• Educate providers on Redeem Program to streamline service for members with a focus on card acceptance.
• Work as a liaison for SMI by assisting with LOU compliance.
• Serve as the primary contact for existing and future agreements with provider.
• Facilitate direct agreements with critical providers and provider groups.
• Monitor, mitigate, and report member and provider abrasion related to cost containment vendors.
• Perform and/or administer research in ensuring effective, timely responsiveness to all provider issues through an established escalation process.
• Be available for providers who wish to speak with SMI about questions or concerns that they have.
• Correspond through phone and email in a professional, friendly, and knowledgeable manner with health care providers and SMI members.
• Maintain current knowledge of SMI sharing programs, program guidelines, and processes.
• Provide Christ-centered encouragement and grace filled counsel to members and providers.
• Coordinate member and ministry business and workflows with various third-party vendors utilized by the ministry to serve members.
• Pray for members, Providers and Vendors.

Qualifications and Experience

• Bachelor’s degree in a Healthcare or business-related field is preferred
• 3-5 years’ experience with healthcare networks/PPOs, medical billing, provider relations, medical coding OR combination of education and experience required
• Knowledge of SMI Programs and Guidelines
• Knowledge of SMI Internal Policies and Procedures (Intermediate) (particularly the needs processing and billing processes (Intermediate))
• Knowledge of Healthcare common practices and terminology
• Negotiating techniques (Intermediate)
• Fair pricing calculations (Intermediate)
• Medical billing process (Intermediate)
• Single Case Agreements process
• Upfront sharing loan processing in coordination with third party vendors
• Software: Microsoft (Intermediate) Office (especially Excel (Intermediate)), Hubspot, Aircall, Five9, Zoho, Lessonly, Call & E-mail recording software, Gong
• Fair pricing tools (Intermediate) such as HCBB (Intermediate), Definitive Health (Intermediate), and AHD (Intermediate).

Additional Information

• Tasks are normally conducted in a regular office environment, requiring use of computer and mouse and other standard office equipment. Staff usually remain in a stationary position, often standing or sitting for prolonged periods. If remote/hybrid approved, the employee must work in an appropriately professional and secure environment.
• Staff will observe safety principles while performing the duties of the position.
• May need to lift and move items up to 35 lbs on occasion.
• Staff will be required to travel (up to 25%) and have a valid driver's license.
• Disclaimer: This job description is intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of responsibilities, duties and skills required of personnel in the classification. Work hours are standard during the workweek (Monday - Friday) with potential, but rare, need for evening or weekend work.
• This position requires an active commitment to the mission and values of SMI. In the course of performing job duties, the employee will act in a manner that is Christ-honoring as well as Christ-like, demonstrating a personal Christian faith and witness in all interpersonal interactions.