Healthcare Provider Liaison

2 days ago


Orange, California, United States Astiva Health, Inc Full time
Provider Relations Coordinator

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

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