Provider Network Coordinator
North East Medical ServicesCalifornia, United States
Posted May 29, 2024
39.69 - 45.1 USD hour
Full Time
About the Company
NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce.
Job Description
The Provider Network Coordinator is responsible for supporting, developing, and maintaining service relationships with healthcare providers and administrators. Primary focus is on timely completion of provider credentialing and re-credentialing activities.
Requirements
- Serve as point of contact between NEMS organization, MSO network providers, Health Plans and other community partners
- Assist with the development of written communications for general NEMS MSO notifications, provider newsletter, MSO website
- Responsible for the initial credentialing and re-credentialing activities for new and recertified providers
- Coordinate and facilitate the NEMS/MSO Credentialing/Privileging Committee meeting
- Be the point of contact for credentialing denials, provider complaints and/or appeals about credentialing
- Carry out monthly monitoring activities to ensure NEMS MSO network providers are in compliance
Benefits
- Competitive benefits
- Free medical, dental and vision insurance for employee, spouse and/or children
- Company contribution to 401(k)
