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구인 정보
Provider Contracting
등록일 : 08-01-2022 조회수 : 3,281 관심글

채용정보

지역 : Buena Park/CA
직종 : 일반사무 근무형태 : Full time
경력 : 무관 연봉/급여 : 협의

Provider Contracting 

 

Duties

•​ Maintain, establish, and develop collaborative relationships with network providers and prospective providers

•​ 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

•​ Be involved in new business development projects for the MSO and the IPAs

•​ Perform initial and re-credentialing duties such as conducting primary source verifications, verifying hospital affiliations, and collecting other necessary documents

 

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 

회사 정보

Healthcare Management