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