ProviderNetwork Administrator (Las Vegas)
Duties
• Maintain, establish, and developcollaborative relationships with network providers and prospective providersfor expanding network
• Call, communicate, and contact variousprovider offices to send out and obtain contracts through mail, fax,or in-person
• Research and understand the processes of theMSO and the IPAs including but not limited to claims, utilizationmanagement,
eligibility, credentialing, and contracting
• Provide support to providers regarding thepolicies and procedures of the IPA, health plans, and state and federalbodies
Experience andQualifications
• Experience in healthcare
• College graduate (at least an Associate's ora 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, andcrisis situations
• Ability to drive and travel out-of-state(more than 50% of the time is field work)
Resume submission : info330amm@gmail.com