Healthcare Provider Liaison
2 days ago
Astiva Health, Inc. is seeking a highly skilled Provider Relations Coordinator to join our team in Orange, CA. As a key member of our healthcare team, you will be responsible for building and maintaining strong relationships with our network providers, ensuring seamless operations and exceptional provider satisfaction.
Key Responsibilities:
- Establish and maintain positive working relationships with contracted providers, responding timely to their inquiries and resolving issues in a professional manner.
- Process provider adds, changes, and terminations requests, ensuring accurate provider directories and compliance with regulatory requirements.
- Assist with provider portal account setup and virtual training, ensuring providers have the necessary tools to manage their accounts effectively.
- Coordinate with internal departments to resolve issues related to contracting, capitation, claims, referrals, and eligibility.
- Participate in marketing events and initiatives, such as annual wellness exams, to educate providers and promote our services.
- Other duties may be assigned as needed.
Requirements:
- High School diploma or GED required; Bachelor's degree in Healthcare Administration, Finance, Business Administration, or related field preferred.
- 2-3 years of experience in a provider relations role within a health plan, IPA, or medical group; strong working knowledge of Medicare, Medicaid, and HMO health plans required.
- Bilingual in Vietnamese, Chinese, or Korean (verbal and written) is highly desirable.
Benefits:
- 401(k) plan
- Dental insurance
- Health insurance
- Life insurance
- Vision insurance
- Paid time off
-
Healthcare Liaison
4 weeks ago
Orange, California, United States AmeriPharma Full timeJob OverviewSalary: $22 HourlyAbout AmeriPharmaAmeriPharma is a dynamic and expanding healthcare organization where your contributions are valued daily. We encourage innovative thinking, creativity, and productivity. We seek individuals who are enthusiastic about their roles and eager to evolve alongside the company.Benefits Offered by...
-
Patient Advocate Liaison
2 weeks ago
Orange, California, United States Alta Hospitals Full timeJob SummaryAt Alta Hospitals, we are seeking a highly skilled Patient Advocate Liaison to join our team. As a Patient Advocate Liaison, you will play a critical role in ensuring the satisfaction and retention of our patients. You will be responsible for acting as a liaison between patients, healthcare providers, and our organization.Key...
-
CCT Transition Coordinator
2 weeks ago
Orange, California, United States Libertana Full timeJob SummaryLibertana Home Health is seeking a highly skilled CCT Transition Coordinator to join our team. As a key member of our community liaison team, you will be responsible for coordinating the transition of residents from skilled nursing facilities to community-based care settings.Key ResponsibilitiesClient Coordination: Assist clients with housing and...
-
Customer Service Liaison
3 weeks ago
Orange, California, United States Prospect Medical Full time**Job Summary:**The Customer Service Liaison will serve as a key point of contact between members, healthcare providers, and Prospect Medical. This role requires exceptional communication and problem-solving skills to ensure member satisfaction and retention.**Key Responsibilities:**Perform outbound calls to members with enrollment errors or potential...
-
Healthcare Nomad
3 weeks ago
Orange, California, United States TravelNurseSource Full timeAbout the PositionWe are seeking a skilled Case Management RN to join our team at TravelNurseSource. As a Case Management RN, you will be responsible for developing, implementing, and evaluating individual patient care plans.You will work closely with patients and their families to manage their care and provide support. Your role will involve serving as a...
-
Enrollment Representative
2 weeks ago
Orange, California, United States Alignment Healthcare Full timeJob SummaryAlignment Healthcare is seeking an experienced Enrollment Representative to join our team. As an Enrollment Representative, you will be responsible for ensuring seamless enrollment processes for our members. This role requires strong communication and organizational skills, with the ability to work in a fast-paced environment.Key...
-
Patient Advocate Liaison
3 weeks ago
Orange, California, United States Alta Hospitals Full timeJob SummaryAt Alta Hospitals, we are seeking a highly skilled Patient Advocate Liaison to join our team. As a Patient Advocate Liaison, you will play a critical role in ensuring the satisfaction and retention of our patients by providing exceptional customer service and support.Key ResponsibilitiesOutbound Retention Efforts: Complete all assigned campaigns...
-
Customer Service Representative I
2 weeks ago
Orange, California, United States Alta Hospitals Full timeJob SummaryWe are seeking a highly skilled and experienced Customer Service Representative to join our team at Alta Hospitals. As a Customer Service Representative, you will be responsible for providing exceptional customer service to our patients, healthcare providers, and other stakeholders.Key ResponsibilitiesCustomer Service: Respond to customer...
-
Customer Service Liaison
4 weeks ago
Orange, California, United States Prospect Medical Full time**Job Summary:**The Customer Service Liaison will serve as a key point of contact between members, health plans, and physicians at Prospect Medical. This role requires exceptional communication and problem-solving skills to ensure member satisfaction, wellness, and retention.**Key Responsibilities:**Perform outbound retention efforts to identify and address...
-
Customer Experience Liaison
2 weeks ago
Orange, California, United States Spectrum Staffing ServicesHRStaffers Inc. Full time{"title": "Customer Experience Representative", "description": "Job SummaryWe are seeking a highly skilled Customer Experience Representative to join our team at Spectrum Staffing Services/HRStaffers Inc. This role is responsible for promoting company awareness, establishing and building strong client relationships, and providing assistance to field sales...
-
Healthcare Authorization Coordinator
4 weeks ago
Orange, California, United States The Midtown Group Full timeJob OverviewOur client, a reputable Healthcare Network based in California, is in search of a dedicated and experienced Healthcare Authorization Coordinator (Prior Authorization) to enhance their operations. The Healthcare Authorization Coordinator will be responsible for managing office and referral processes, acting as a liaison among members, healthcare...
-
Healthcare Operations Lead
3 weeks ago
Orange, California, United States Alignment Healthcare Full timeJob SummaryAlignment Healthcare is seeking a highly motivated and experienced Healthcare Operations Lead to join our Member Services team. As a key member of our operations team, you will be responsible for leading and managing a team of customer service representatives, ensuring exceptional member experience, and driving business growth.Key...
-
Healthcare Coding Auditor
4 weeks ago
Orange, California, United States Alignment Healthcare Full timeAbout Alignment Health:Alignment Health is a prominent healthcare organization dedicated to transforming the care experience for seniors, emphasizing the delivery of outstanding health services. We are looking for a Coding Specialist to become a vital part of our innovative team.Position Summary:Oversee and execute HCC coding methodologiesReview all RAPS...
-
Healthcare Call Center Lead
7 days ago
Orange, California, United States Alignment Healthcare Full timeJob Title: Healthcare Call Center LeadAlignment Healthcare is seeking a skilled and experienced Healthcare Call Center Lead to join our team. As a key member of our member services team, you will be responsible for leading a team of customer service representatives and ensuring that our members receive exceptional service and support.Responsibilities:Lead a...
-
Healthcare Call Center Lead
2 weeks ago
Orange, California, United States Alignment Healthcare Full timeJob Title: Healthcare Call Center LeadAlignment Healthcare is seeking a skilled and experienced Healthcare Call Center Lead to join our team. As a key member of our member services team, you will be responsible for leading a team of customer service representatives and ensuring that our members receive exceptional service and support.Responsibilities:Lead a...
-
Healthcare Revenue Integrity Specialist
4 weeks ago
Orange, California, United States University of California Irvine Health Full timePosition Overview:The University of California, Irvine Health is seeking a dedicated Revenue Integrity Service Line Analyst to join our team. This full-time position is essential in ensuring the accuracy and efficiency of our revenue cycle operations.Location: Irvine, CaliforniaDivision: Medical CenterDepartment: Revenue IntegrityRole Summary:Under the...
-
Bilingual Healthcare Scheduler
4 weeks ago
Orange, California, United States Marquee Staffing - Healthcare Full timeJob OverviewPosition SummaryThe Bilingual Healthcare Scheduler will oversee both incoming and outgoing tasks within our Call Center environment. Key responsibilities encompass call handling, appointment scheduling, authorization management, responding to inquiries, clinic-based scheduling, and various administrative duties. You will provide exceptional...
-
Clinical Care Liaison
4 weeks ago
Orange, California, United States University Of California Irvine Full timeExciting Opportunity for a Care Coordinator at UC IrvineAbout UsEstablished in 1965, UC Irvine stands as a distinguished institution, consistently ranked among the top 10 public universities in the United States. With a vibrant community of over 36,000 students and a diverse array of 224 degree programs, UC Irvine plays a vital role in both local and state...
-
Customer Service Liaison
2 days ago
Orange, California, United States Infojini Inc Full timeJob Title: Customer Service RepresentativeAt Infojini Inc, we are seeking a highly skilled and dedicated Customer Service Representative to join our team. As a key member of our customer service team, you will play a vital role in ensuring that our clients receive exceptional service and support.Key Responsibilities:Provide high-quality customer service to...
-
Travel Nurse RN Opportunity
2 weeks ago
Orange, California, United States Host Healthcare Full timeJoin Host Healthcare as a Travel Nurse RNHost Healthcare is a leading travel healthcare company with a current opening for a Registered Nurse - NICU in Orange, CA.Why Choose Host Healthcare?We offer a supportive and transparent team environment.Our recruiters act as dedicated travel career mentors and advocates.We provide assistance with travel, housing, and...