Provider Relations & Advocacy Specialist

LaSalle Medical Associates IPA; San Bernardino (CA); Hybrid; USD 96,257,000 - 103,393,000; Full time

Job summary

LaSalle Medical Associates IPA in California seeks a Provider Services Advocate to serve as the main liaison between the IPA and its contracted provider network, including primary care, specialists, and clinic staff. You will resolve provider inquiries, educate offices on IPA processes such as authorizations, referrals, claims and eligibility, and facilitate cross-department issue resolution.

Travel to the Low Desert area is required to strengthen relationships and improve access, quality and

Qualifications

• High School diploma required.
• Bachelor’s degree preferred.
• 2+ years in managed care or healthcare administration.
• Experience in CA managed care preferred.

Responsibilities

• Serve as liaison between IPA and provider network.
• Resolve provider inquiries and educate offices on IPA processes.
• Facilitate issue resolution across departments.
• Conduct clinic visits, including travel to the Low Desert area.

Skills

Customer service

Communication

Problem solving

Multitasking

Confidentiality

Office software

Teamwork

Independent work

Attention to detail

Microsoft Office

Education

High School diploma

Bachelor's degree

Tools

Microsoft Office Suite

Job description

LaSalle Medical Associates IPA in California seeks a Provider Services Advocate to serve as the main liaison between the IPA and its contracted provider network, including primary care, specialists, and clinic staff. You will resolve provider inquiries, educate offices on IPA processes such as authorizations, referrals, claims and eligibility, and facilitate cross-department issue resolution.

Travel to the Low Desert area is required to strengthen relationships and improve access, quality and