Job description

Job Description

We are seeking a Provider and Community Relations Representative to perform internal and external duties to ensure high quality and efficient day-to-day operations. The Provider and Community Relations Representative is involved in office and field duties in supporting and expanding the network of our medical groups. Provider and Community Relations Representatives will have the opportunity to learn about the ins and outs of managed care and build a career with what they learn.

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
• Visit physician offices to explain the business of IPAs, drop off contracts, explain company and health plan processes
• Attend regular board meetings, prepare meeting minutes/notes after the board meetings, prepare board meeting slides and presentations
• Provide adequate customer service to members
• Perform market research to identify prospective physicians and members; research suitable marketing materials within a certain budget

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 (more than 75% of the time is field work)

Benefits

• Paid time off/Vacation days
• Paid sick days (3)
• Paid major holidays (6)
• Medical, dental, and vision insurance after the introductory period

Schedule

• Monday to Friday (all days)
• 8:30 AM to 5:30 PM (whole duration, 1-hour lunch in between)

Salary

• Starts $17.00 per hour
• Starting salary may be negotiable depending on exact and relevant experience in healthcare

Job Type: Full-time

Pay: From $17.00 per hour

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Buena Park, CA 90620: Reliably commute or planning to relocate before starting work (Preferred)

Education:

• Associate (Preferred)

Experience:

• administrative healthcare and community relations: 1 year (Preferred)

Work Location: In person

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