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Provider Grid Operations Coordinator
Company | ApolloMed |
Address | Monterey Park, CA, United States |
Employment type | FULL_TIME |
Salary | |
Category | Hospitals and Health Care |
Expires | 2023-11-18 |
Posted at | 8 months ago |
Description
- Identify providers’ data error and coordinate with responsible parties to correct.
- Adhere to corporate standards for performance metrics, data integrity, and reporting format to ensure high quality, meaningful output.
- Audit providers’ membership assignment based on Shared/Full Risk contract and PPG codes.
- Collect and submit correct documentation to Health Plans in order to add new providers to database/network
- Review providers add, termination, and demographic update requests.
- Maintain and update providers’ health plan unique identification numbers across all lines of business.
- Act as liaison between internal departments (Contracting, Credentialing, Provider Relations, Terms and Conditions, Eligibility, PDM) and external (Health Plans) entities to effectively communicate and follow-up in a timely manner to resolve provider inquiries and requests.
- Accurately log all providers’ requests and be able to provide monthly summary to Director and Team Lead.
- Perform other duties as necessary or assigned by the Director or Team Lead.
- Ability to comply and follow company policies and procedures
- Keep an organized and neat work area.
- Proficient in Microsoft Excel and Words applications
- Strong team player.
- Ability to multitask and problem solve in a fast pace work environment.
- Detail oriented and have good organizational skills
- Empower Entrepreneurial Provider and Care Teams
- Work as One Team
- Be Innovative
- Put Patients First
- Operate with Integrity and Excellence
- The total compensation target pay range for this role is between $18 - $36/hr. This salary range represents our national target range for this role.
- Work is performed in an office environment. Employee must be able to tolerate sitting or standing for long periods of time to perform different duties. Must be able to deal with busy, high pace work shifts. Pace of work may be rapid and intense especially when faced with deadlines.
- This position is in office. The office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754.
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