Provider Services Advisor

Jobtailor; Riverside (CA); On-site; USD 65,000 - 90,000; Full time

Job summary

Altais is seeking a dedicated Physician Services liaison in Riverside, CA to manage internal and external physician relations and administrative tasks. You will support physicians and staff, monitor participation, and advocate for Altais products and processes.

The role requires strong communication, organizational skills, and deep knowledge of physician office operations, with travel up to 75% within Riverside.

Qualifications

• BA/BS degree or 4 years in managed health care administration or physician office administration.
• 2-3 years of patient and physician portals and EMR/EMH experience preferred.
• Proficient in Microsoft Office (Word, Outlook, Excel, PowerPoint).
• Ability to use independent judgment within established policies and procedures.
• Excellent written and verbal communication skills.
• Strong understanding of physician office operations with health plans and IPAs.
• Ability to travel up to 75% within the Riverside region.
• External hires must pass a background check/drug screen.

Responsibilities

• Serve as the primary internal contact for all service lines provided by Altais to network physicians.
• Support day-to-day administrative operations and provide service to physicians and office staff.
• Monitor physician participation from entry through tenure with Altais.
• Advocate for current and future products, services, and operational processes.
• Contribute to organizational and departmental strategies and goals.
• Act as an internal and external liaison, resolving challenges and promoting positive relationships.
• Communicate physician network challenges and deficiencies, escalating issues and ensuring timely resolutions.
• Serve as first contact for physician network support for electronic network tools, deploying EpicLink and the Provider Engagement Portal.
• Provide education, training, and day-to-day support for electronic network tools.
• Participate in multi-department work groups addressing access, quality of care, and claims issues.
• Document and track tasks for Physician Services.
• Assist with onboarding new physicians and staff, including account setups, agreements, and paperwork.
• Complete administrative tasks associated with physician and office staff requests.
• Track and trend physician status changes.
• Schedule and facilitate internal and external meetings to discuss and resolve relevant issues.
• Educate physician practices on policies and procedures, medical management review processes, claims payment policies, and clinical coding processes.
• Review policies for compliance, troubleshoot provider issues, and identify non-compliant providers.
• Develop and maintain comprehensive knowledge of Altais services and product offerings
• Travel up to 75% of the time within the Riverside region.

Skills

Managed Health Care Administration

Patient Portals

EMR/EMH Systems

Microsoft Office

Communication Skills

Organizational Skills

Relationship Management

Judgment & Initiative

Flexibility

Onboarding

Data Tracking

Administrative Tasks

Policy Compliance

Education

BA/BS degree

Tools

EpicLink

Provider Engagement Portal

Job description

• Serve as the primary internal contact for all service lines provided by Altais to network physicians
• Support day-to-day administrative operations and provide service to physicians and office staff
• Monitor physician participation from entry through tenure with Altais
• Advocate for current and future products, services, and operational processes
• Contribute to organizational and departmental strategies and goals
• Act as an internal and external liaison, resolving challenges and promoting positive relationships
• Communicate physician network challenges and deficiencies, escalating issues and ensuring timely resolutions
• Serve as first contact for physician network support for electronic network tools, deploying EpicLink and the Provider Engagement Portal
• Provide education, training, and day-to-day support for electronic network tools
• Participate in multi-department work groups addressing access, quality of care, and claims issues
• Document and track tasks for Physician Services
• Assist with onboarding new physicians and staff, including account setups, agreements, and paperwork
• Complete administrative tasks associated with physician and office staff requests
• Track and trend physician status changes
• Schedule and facilitate internal and external meetings to discuss and resolve relevant issues
• Educate physician practices on policies and procedures, medical management review processes, claims payment policies, and clinical coding processes
• Review policies for compliance, troubleshoot provider issues, and identify non-compliant providers
• Develop and maintain comprehensive knowledge of Altais services and product offerings
• Travel up to 75% of the time within the Riverside region

Requirements

• BA/BS degree or equivalent experience of 4 years working in direct managed health care administration or physician office administration
• 2-3 years of patient and physician portals and EMH or EMR system experience (preferred)
• Proficient computer skills, including Microsoft Office (Word, Outlook, Excel, PowerPoint)
• Proficient in patient and physician portals and EMH or EMR systems
• Ability to use independent judgment and initiative within established policies and procedures
• Excellent written and verbal communication skills
• Strong understanding of physician office operations, including interfaces and interdependencies between offices, health plans, and IPAs
• Demonstrated flexibility and strong organizational skills
• Ability to prioritize duties and effectively delegate tasks
• Ability to maintain excellent relationships with internal and external stakeholders
• Comprehensive knowledge and excellent customer service skills related to the complexities of physician practices
• Ability to travel up to 75% of the time within the Riverside region
• External hires must pass a background check/drug screen

Core Competencies

Demonstrates comprehensive knowledge of managed health care administration and physician office operations, with strong skills in communication, customer service, and the use of electronic network tools. Capable of effectively supporting physicians and office staff while managing administrative tasks and fostering positive relationships.

Highest-signal resume keywords

• Managed Health Care Administration
• Patient And Physician Portals
• EMH Or EMR System Experience
• Microsoft Office Proficiency
• Excellent Communication Skills

ATS Optimization Keywords

Hard Skills

• Managed Health Care Administration
• Patient And Physician Portals
• EMH Or EMR System Experience
• Microsoft Office Proficiency
• Clinical Coding Processes
• Policy Compliance Review
• Task Documentation And Tracking
• Onboarding Processes
• Administrative Task Management
• Data Tracking And Trending

Soft Skills

• Excellent Communication Skills
• Strong Organizational Skills
• Flexibility
• Relationship Management
• Judgment And Initiative

Industry Keywords

• Physician Office Operations
• Health Plans
• IPAs
• Customer Service
• Compliance

Tools & Technologies

• EpicLink
• Provider Engagement Portal