Provider Relations Advocate Cover Letter

In response to your job posting for provider relations advocate, I am including this letter and my resume for your review.

In the previous role, I was responsible for pro-active and on-going communication and education to designated providers’ staff regarding HPI products, policies, procedures, and systems.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Strong interpersonal skills that support effective working relationships
• Established analytical and critical thinking skills
• Robust knowledge of Microsoft Office 365
• At least a basic proficiency with contract language and interpretation as it relates to Medicare and Medicaid
• Network contracting experience
• Proficiency with MS Word, Excel, Outlook, PowerPoint and Access
• Experience with UB04/Facility Claims
• Experience working in the Skilled Nursing Facilities industry

In response to your job posting for provider relations advocate, I am including this letter and my resume for your review.

In the previous role, I was responsible for appropriate education to contracted providers and their staffs within required time frames and in accordance with Humana Military contract standards.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Experience in Veteran space
• Intermediate or higher level of proficiency with MS Outlook (send calendar invites and WebEx meetings)
• Commutable distance to Overland Park, KS office
• Provider advocate experience
• KS Medicaid experience
• Knowledge of Medicaid Regulations
• Intermediate or higher level of claims processing and issue resolution knowledge
• Intermediate or higher level of proficiency with MS Word, Excel, PowerPoint

I am excited to be applying for the position of provider relations advocate. Please accept this letter and the attached resume as my interest in this position.

In the previous role, I was responsible for assistance, clarification, and resolutions to problems/concerns for various types of providers, including billing, reimbursement, referrals, authorizations, etc.

Please consider my experience and qualifications for this position:

• Bilingual expertise in English and Spanish
• Interpret create reports and data analysis
• Knowledge of the Medicaid managed care environment
• Basic Microsoft Excel skills (sorting, filtering, formatting)
• Proficiency in Microsoft Outlook and Microsoft Word
• Exceptional written and verbal communication skills consistent with a polished business professional
• Intermediate proficiency skills using MS Word, Excel, and PowerPoint
• Prior experience with internal systems such as NICE, CSP Facets, Emptoris, and/or NDB

I submit this application to express my sincere interest in the provider relations advocate position.

In my previous role, I was responsible for continuing education of providers via phone on claim submission, claim resubmission and use of provider website and customer service on the status of outstanding claims and electronic submission.

Please consider my qualifications and experience:

• Knowledge of federally administered programs for veterans and military personnel
• Field based experience working with providers
• Residence in North Louisiana
• Prior experience with internal systems such as ISET, COSMOS, CSP Facets and / or NDB
• Knowledge of claims processing and issue resolution
• Experience with giving presentations and facilitating meetings with internal and external business partners
• Knowledge and use of United Healthcare portals
• Medicaid nursing facility billing knowledge/experience

I submit this application to express my sincere interest in the provider relations advocate position.

In the previous role, I was responsible for ongoing direction to staff and participating providers through the development of measurable goals and objectives which will cultivate and maintain a positive working relationship between providers, payors, members and PHC.

My experience is an excellent fit for the list of requirements in this job:

• Experience working with Claim and Provider Systems
• Capable of managing a variety of complex issues while driving key projects
• High level of proficiency with MS Word, Excel, PowerPoint and Access
• Experience with giving presentations and facilitating meetings
• Experience with giving presentations and facilitating meetings (side note-important to be able to facilitate communication in addition to presenting information)
• Experience with Skilled Nursing Facilities
• Able to work cross functionally and influence other teams, leadership and internal business partners
• Intermediate level of proficiency with MS Office (Outlook, Word, Excel, PowerPoint, Access)