Provider Network Administrator (Fresno, San Jose, Las Vegas)
Duties
• Maintain, establish, and develop collaborative
relationships with network providers and prospective providers for expanding
network
• Call, communicate, and contact various provider offices
to send out and obtain contracts through mail, fax, or in-person
• Research and understand the processes of the MSO and the
IPAs including but not limited to claims, utilization
management, eligibility, credentialing, and contracting
• Provide support to providers regarding the policies and
procedures of the IPA, health plans, and state and federal bodies
Experience and Qualifications
• Experience in healthcare
• College graduate (at least an Associate`s or a
Bachelor`s Degree)
• Excellent and proven interpersonal, verbal, and written
communication skills
• Ability to keep schedule; customer service; strong work
ethic
• Proficiency with Microsoft Excel/Word
• Ability to cope with conflict, stress, and crisis
situations
• Ability to drive and travel out-of-state (more than 50%
of the time is field work)
Resume submission : info330amm@gmail.com