Physician Relationship Management Specialist

Job description

Job Description Coordinates and facilitates physician enrollment and network participation activities for various network products and Independent Practice Association (IPA). Acts as liaison between physicians, third-party insurance administrators, and departmental staff providing operational support. Works to ensure high-level customer service and physician satisfaction. Job Responsibility: - Responds to various inquiries from participating physicians, network staff, hospital staff, and managed care companies. - Resolves issues related to credentialing, managed care participation, claims payment, demographic changes, referrals, and accessibility. - Responds to physician requests, provides updates and resolves issues. - Coordinates and implements credentialing activities to assist providers with the completion of applications for network contract offerings; monitors applications and follows-up as needed. - Conducts provider and facility credentialing and re-credentialing activities; communicates with providers to obtain requisite credentialing information to facilitate timely completion and submission of required documents. - Facilitates re-credentialing requests and coordinates si...