Provider Network Coordinator

Preferred IPA is one of the leading independent physician associations in Los Angeles County with a network of nearly 1500 primary and specialty care providers. We are seeking for individuals for patient/member outreach activities including various campaigns related to improving the patient’s overall experience and compliance with office visits. Applicants will conduct phone calls and/or telehealth calls to members and coordinate with provider offices to complete the preventive screenings measures and enter all call information into a database/tracking tool of all calls completed.

Essential duties and responsibilities:

• Responsible for provider and credentialing system data maintanance
• Responsible for provider maintenance and updates to ensure provider demographics, credentialing, and other data are current and accurate
• Research and respond to provider status changes for provider system updates
• Responsible for Health plan roster reconcilations and communications with health plans

• Minimum of 4 years of experience in an HMO environment (i.e. MSO, IPA, health plan, provider office)
• Ability to interpret provider credentialing applications and contracts and transfer data to appropriate fields in the system
• Ability to analyze available data and information and update provider profiles as needed

Pulled from the full job description

• 401(k)
• Health insurance
• Paid time off
• Vision insurance
• Dental insurance
• Life insurance
• Disability insurance, * 401(k)
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance