Preferred IPA is one of the leading independent physician associations in Los Angeles County with a network of nearly 1000 primary and specialty care providers. We are seeking a representative who will be responsible for educating contracted physician and staff with compliance to Preferred IPA and contracted Health plan’s policies.. They will also be responsible to update & monitor all data submission & accuracy with contracted health plans. The incumbent will interface with various internal department as wells as other health care stakeholders
Essential duties and responsibilities:
Provider and clinic staff education and training via in person/webinars/telephone calls
Educate offices on Health plan compliance requirements
Dissemination of numerous reports to Physician offices
Update Physician profiles and Data in the System
Communication & interaction with health plan representatives
Collection of materials, documents and information Such as IHAs, AWEs, credentialing applications, contracts and other items as needed
Customer service and maintain working relations with physicians
Qualifications and requirements:
Experience working with medical offices
Demonstrate good verbal & presentation skills
Excellent Computer skills
Experience with medical coding & billing is a plus but not required
Education and Training
Bachelor degree at a four-year accredited college and/or comparable years of healthcare experience
Minimum of 5 – 10 years experience in the health care industry with a solid customer service problem-solving background; excellent verbal and written communication skills;
Knowledge of Medicare & Medi-Cal managed care and/or Medi-Cal regulations, policies and procedures is required
Salary Range: Negotiable, based on experience
Job Type: Full-time
Benefits:
- 401(k)
- Dental Insurance
- Employee Discount
- Health Insurance
- Paid Time Off
- Tuition Reimbursement
- Vision Insurance
Schedule:
- Monday to Friday
Supplemental Pay:
- Bonus Pay
Experience:
- Manged Health Care: 2 years (Preferred)
- Health Care: 5 years (Required)
Work Location:
- On the road
Company’s website:
- Preferredipa.com
Benefit Conditions:
- Waiting period may apply
- Only full-time employees eligible
Work Remotely:
- Temporarily due to COVID-19