What are the responsibilities and job description for the Provider Relations Coordinator position at Your Health Organization?
About
We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care.
Why Choose a Career at Your Health?
Providing high quality care for our patients is the center of what we do, and we provide the same care for our employees. Here are some of the benefits that are available to our employees.
- Competitive Compensation Package with Bonus Opportunities
- Employer Matched 401K
- Free Visit & Prescriptive Services with HDHP Insurance Plan
- Employer Matched HSA
- Generous PTO Package
- Career Development & Growth Opportunities
- Company Vehicle
What Are We Looking For?
Your Health is currently looking for a Provider Relations Coordinator to join our growing urgent care family. The Provider Relations Coordinator serves as a liaison between the healthcare organization and its network of healthcare providers, including physicians, specialists, hospitals, clinics, and other healthcare facilities. They are responsible for maintaining strong relationships, addressing concerns, and ensuring effective communication between the organization and its provider network. As a Provider Relations Coordinator you must maintain the responsibilities of:
- Maintaining a positive relationship with healthcare providers within the organizations network.
- Serving as the primary point of contact for provider inquiries, concerns, and issues.
- Collaborate with internal departments to address provider needs and facilitate resolutions.
- Assist in the negotiation, implementation, and maintenance of contracts with healthcare providers.
- Facilitate communication of clinical guidelines, quality measures, and regulatory requirements to providers.
- Investigate and resolve issues related to claims processing, reimbursement, credentialing, and other operational matters.
- Communicate updates, changes, and important information to providers via newsletters, bulletins, and meetings.
- Communicate contract updates and changes to providers as needed.
- Coordinate provider orientation sessions and ongoing training programs.
- Educate providers on organizational policies, procedures, and initiatives.
- Address provider concerns and inquiries in a timely and professional manner.
- Escalate complex issues to appropriate departments or management for resolution.
- Gather feedback from providers and communicate their needs and preferences to relevant stakeholders within the organization.
- Collaborate with quality improvement teams to implement initiatives aimed at enhancing provider satisfaction and improving patient outcomes.
- Conduct provider outreach activities to promote collaboration and engagement.
- Ensure adherence to regulatory requirements, accreditation standards, and contractual obligation.
- Maintain documentation and records related to provider interactions and agreements.
- Assist in the recruitment and onboarding of new providers to expand the organization's network.
- Analyze provider performance data and identify opportunities for improvement.
Qualifications
- Bachelor's degree in healthcare administration, business administration, or related field (preferred).
- Previous experience in provider relations, network management, or healthcare administration.
- Knowledge of healthcare delivery systems, reimbursement mechanisms, and managed care practices.
- Familiarity with healthcare regulations, including HIPAA, Medicare, and Medicaid.
- Strong interpersonal skills and ability to build rapport with diverse stakeholders.
- Excellent communication skills, both verbal and written.
- Proficiency in Microsoft Office suite and other relevant software applications.
- Ability to work independently and collaboratively in a fast-paced environment.
