Jeffrey A. Kelso
Provider Relations Specialist @Integrated Home Care Services, Inc.
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WORK HISTORY
Provider Relations Specialist @Integrated Home Care Services, Inc.
Miramar, FL, US
Provides integrated healthcare (IHC) education for coverages and exclusions on contracts with Medicare/Medicaid/Commercial plans, referral process, and portals.• Maintains e1ective time management, promote excellent customer service, and support company’s culture at all times.• Identi3es client needs and o1ers viable solutions.• Responsible for monthly and weekly provider meetings.• Keeps detailed records of all contacts, meetings and phone calls• Ensures the smooth operation and administration of provider agreements.• Initiates and maintains e1ective channels of communication with providers and related office staff.• Demonstrates knowledge of Providers in assigned geographic area. Have a demonstrated understanding of the relationships between Health plans, Providers and Referral sources.• Initiates and maintains e1ective channels of communication with providers, internal and external customers.• Gathering, reviewing, and verifying all pertinent information relating to participating providers.• Gathering, reviewing, and submitting relevant documentation needed for claims processing• Maintaining a working knowledge of all applicable federal, state, and local laws and regulations regarding healthcare.• Provides training and education to onboard new and existing providers for home health/infusion lines of business.
EDUCATION
Coconut Creek High School
High School Diploma, General Studies
ABOUT JEFFREY A. KELSO
By contracting and conducting provider orientations of participating providers with…
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