dalkora

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Provider Network Administrator 

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 : [email protected]