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