What are the responsibilities and job description for the PROVIDER RELATIONS COORDI position at Sonrava Health?
Overview :
Are you resourceful, being able to follow up, work in a fast-paced changing environment, work with little supervision, self-starter, excel and word skills, and have some customer service skills for talking to providers and carriers, good grammar and writing skills? Then consider applying for our part-time Provider Relations Coordinator. Come and join a fun, friendly, professional team at Western Dental / Brident. Whether you are new to the health industry, or have experience, take your career to the next level with us!
Qualifications :
Responsibilities and Requirements
Credentialing / Re-credentialing to meet NCQA standards
a.Send out packets to providers
b.Retrieve items form various websites to process credentialing applications
c.Attention to details to identify any variances on applications
d.Follow up with providers on outstanding items in a timely manner
e.Follow up on missing information to ensure completion of credentialing packets
f.Process applications end to end to add providers to the network
g.Critical thinking skills to address issues on provider packets
Familiarity with QIC Reporting
After Hour Calls
Quarterly compliance calls
a. Wait time
b. Access
c. Appointment availability
d. LAP follow up
Knowledge of entering data into provider surveys
Entering data into member surveys
Provider Directory
a. Monitor weekly changes to provider directory
b. Follow up non-responsive IPA providers
c. Monitor, investigate, and track complaints regarding directory inaccuracies
d. Complete update of provider directory
Respond to Provider Relations emails in a timely manner
Respond to Provider Relations voice messages in a timely manner
