Provider Relations Coordinator

Arizona Priority Care; Chandler (AZ); Hybrid; USD 33,000 - 34,000; Full time

Job summary

Arizona Priority Care in Chandler, AZ is seeking a Provider Relations Specialist to strengthen the network, support providers, and improve service quality. You will manage communications, assist with faxes and emails, and prepare training materials and monthly provider packets for the PCP and specialist network.

The role requires an associate degree, prior provider relations experience, and excellent written and verbal skills.

Qualifications

• Associates Degree or related equivalent experience.
• Experience with Physician Network Contracting and Provider Relations.
• Proficient with office equipment and Microsoft Office programs (Word, Excel, Outlook and PowerPoint).
• Excellent written and verbal communication skills.
• Ability to interact with providers professionally and maintain confidentiality.
• In-office presence for first 60 days (hybrid after).

Responsibilities

• Build strong relationships with providers and resolve issues.
• Manage provider satisfaction through proactive service and education.
• Assist with distribution of faxes and emails to PR department.
• Prepare provider reference and training materials.
• Prepare monthly PR packet for PCP and specialists network.
• Coordinate provider-related activities and events.
• Assist in projects such as HCC Universities and Claims Issue Tracking.
• Update visitation tracker and logs weekly.
• Prepare reports for PR meetings.
• Maintain documentation and scans on the H drive.
• Distribute monthly packet to provider network.

Skills

Provider relations

Microsoft Office

Communication skills

Confidentiality

Multi-tasking under stress

Education

Associates Degree or equivalent experience

Tools

Microsoft Office suite

Job description

Arizona Priority Care (AZPC) is an Integrated Provider Network focused on providing whole-person care to Senior and Medicaid populations, through advanced value-based models. Our provider network is comprised of more than 6,000 health care providers, including primary and specialty care physicians, hospitals and ancillary providers. We have operated in the Arizona market for more than 14 years, based in Chandler, Arizona, and are an affiliate of Heritage Provider Network. As a leading value-based provider organization, we are committed to improving the quality of care, providing excellent member and provider experiences all while reducing cost.

POSITION DUTIES & RESPONSIBILITES

• Demonstrates an in-depth knowledge of provider networks and provider’s needs; demonstrates ability to build strong, positive provider relationships; serves as expert consultant and resource to team members in identifying and resolving provider issues by demonstrating a high level of customer service.
• Manages and promotes provider satisfaction through ensuring proactive service, support and education.
• Assists with the distribution of incoming faxes.
• Assists with the management and distribution of incoming emails to PR department mailbox.
• Prepares provider reference and training materials for Provider Relations Representatives to distribute to the network.
• Prepares Monthly PR packet for distribution to the participating PCP & specialist network.
• Assists in the coordination and implementation of provider related activities such as Office Manager Meetings, Provider Dinners and HCC Universities, etc.
• Participates and assists in special projects, which may include HCC AWV program and Claims Issue Tracking Log.
• Updates visitation tracker on a weekly basis and scans Visit Forms into the H Drive.
• Update PR Rep Assignment Log on a weekly basis to include but not limited to PCP membership, Department Engagement level and current PR Rep assignment.
• Prepare timely reports for PR representatives’ meetings based on calendar entries including but not limited to: Out of Network (OON) Lab, Claim Denial for No Auth, No PCP/AWV, Recapture, Member Eligibility, etc.
• Frequent communication with Senior PR Coordinator to ensure thorough completion of daily task expectations.
• Scans all PR Department Forms into the H Drive for accessibility by the team.
• Distribution of monthly packet to provider network as assigned.
• Other duties as assigned.

Education, Training And Experience

• Associates Degree or related equivalent experience – Required.
• Prior experience with Physician Network Contracting and Provider Relations.
• Proficient in office equipment (computers, printers, etc.) and Microsoft Office programs (Word, Excel, outlook and Power Point).
• Ability to maintain confidentiality; and ability to multi-task in a high stress environment.
• Excellent written and verbal communication skills.
• Must be able to interact with providers in a professional manner with a strong commitment to positively representing the company.
• This role requires FT in-office presence for the first 60 days of employment, hybrid options available after the initial 60-day period.*

Compensation range:

The hourly range for this position is: $24– $25.50