Physician Coordinator - Modesto, United States - American Advanced Management

Description

Job Description

DESCRIPTION OF POSITION

This job description is a record of the essential functions of the listed job. The job description provides the employee, CEO, Human Resources, applicants, and other agencies with a clear understanding of the job, where it fits into the organization, and the skill and work requirements in relation to other jobs. Jobs are always changing to some degree and the existence of the approved job description is not intended to limit normal change and growth. The facility will make reasonable accommodations to otherwise qualified individuals who are capable of performing the essential functions of the job with or without reasonable accommodation.

POPULATION SERVED

The position does not involve direct patient care for a population of patients ages 18 and older. Age specific experience and/or special training and/or expertise are not required to serve this population.

POSITION SUMMARY

The Physician Coordinator is responsible for managing physician credentialing for American Advanced Physician Groups and various insurance providers. They are responsible with enrolling physicians in group insurance plans, facilitating contracts between the group and healthcare providers and maintaining documentation of expirables.

POSITION QUALIFICATIONS

At least one (1) year of medical services experience is preferred. Knowledge of medical terminology, strong organization skills, good written communication skills, ability to work independently, and ability to conduct research while performing job duties is required. The position also requires a person who is able to communicate well with all levels of staff, physicians, and patient referral sources. He/she is flexible, responsible for assignments, and supportive of team efforts.

The duties and responsibilities are listed below. It is the expectation of the American Advanced Management that the employee be able to demonstrate competency in each area. It is the duty of the company to provide orientation and performance evaluation in each area stated.

DUTIES AND RESPONSIBILITIES

JOB DUTIES

• Conduct physician credentialing processes for AAPG and insurance networks
• Enroll physicians in group insurance plans and manage related documentation
• Facilitate contract negotiations and maintenance between the group and healthcare providers
• Monitor and ensure the timely renewal of all expirable credentials and contracts
• Collaborate closely with physicians during the application process for group affiliation
• Interface with credentialing coordinators at each facility to ensure compliance and coordination
• Maintain accurate and up-to-date records of all credentialing and insurance-related activities

QUALIFICATIONS ·

• Associate's degree in healthcare administration, business management, or related field
• Prior experience in physician credentialing and insurance enrollment preferred
• Strong understanding of credentialing processes, insurance regulations, and contract management
• Excellent communication and interpersonal skills, with the ability to work effectively with physicians and external stakeholders
• Proficiency in Microsoft Office suite and credentialing software
• Exceptional organizational skills and attention to detail
• Ability to work independently and prioritize tasks in a fast-paced environment