Provider Relations Coordinator
Innovative Integrated Health, Bakersfield, CA, United States
Who We Are
To empower our senior participants to age at home with dignity through personalized, comprehensive care plans that deliver high-quality health and human services along with strong community support.
Benefits 401(k) Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Health savings account Life insurance Paid sick time Paid time off Referral program Retirement plan Vision insurance
Job Summary The Provider Relations Coordinator is responsible for coordinating and maintaining service relationships with Innovative Integrated Health (IIH) providers including physicians, hospitals, ancillary service providers and long‑term care facilities. Responds to electronic and direct inquiries from providers about policies, claims, patient referrals, authorizations, and credentialing. The Provider Relations Coordinator will provide support to the Provider Relations Administrators on projects such as provider outreach and engagement, provider office roster updates, and provider training initiatives. The Provider Relations Coordinator oversees the credentialing and re‑credentialing process by gathering all necessary and required documentation while ensuring timely completion. This role also maintains accurate and current provider information within relevant data systems.
Essential Job Functions
Initiating and maintaining effective channels of communication with provider offices.
Gathering, verifying and updating all pertinent information relating to participating healthcare providers.
Establishing and maintaining relationships with healthcare providers through e‑mail and telephone outreach, prompt resolution of issues, and excellent customer service.
Performing intake of specialty providers and responding to inquiries related to credentialing, claims, demographics, letters of agreement, contracting, etc., as needed.
Handling and responding to requests and queries for both internal and external entities related to provider information, as necessary.
Answering questions from provider offices related to prior authorization requests, claims processing, and the provider portal
Support changing management efforts and promote a culture of collaboration and continuous improvement.
Assisting Provider Relations Administrators and working with provider offices to complete contracts and letters of agreement or assist with more complicated authorization queries received.
Conducting training on IIH policies, procedures and services with provider offices.
Maintaining a working knowledge of all applicable federal, state, and local laws and regulations regarding healthcare.
Attend and participate in staff meetings, in‑services, projects, and committees as assigned.
Adhere to and support the center’s practices, procedures, and policies including assigned break times and attendance.
Accept assigned duties in a cooperative manner; and perform all other related duties as assigned.
May require use of personal vehicle, if applicable. If using a personal vehicle, a valid California Driver’s License, current proof of insurance, and vehicle registration are required.
Qualifications Knowledge, Skills, and Abilities
Proficient knowledge of computer skills. MS Office (Word, Excel, Access, PowerPoint, and Outlook).
Knowledge of general office procedures, equipment and filing systems.
Ability to communicate effectively, both orally and in writing.
Ability to quickly learn department policies, procedures, goals, and services.
Skill: Attention to detail and accuracy.
Ability to change priorities regularly.
Working Conditions and Physical Demands The working conditions and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to access all areas of the center throughout the workday.
Ability to lift a minimum of 35 pounds occasionally, 15 pounds frequently, and 7 pounds constantly; required to obtain assistance of another qualified employee when attempting to lift or transfer objects over 50 pounds.
Requires constant hand grasp and finger dexterity; frequent sitting, standing, walking and repetitive leg and arm movements, occasional bending, reaching forward and overhead; squatting and kneeling.
Work is generally performed in an indoor, well‑lighted, well‑ventilated, heated, and air‑conditioned environment.
Experience
Minimum of one (1) year of demonstrated experience in the healthcare field, preferably in a provider relations or provider network support role.
Managed care experience preferred.
Minimum of one (1) year of documented experience working with a frail or elderly population.
Education And Qualifications
High School diploma or equivalent required
Bachelor’s degree preferred.
Valid CA Driver’s License
Core Values
CARE is central to what we do, prioritizing the well‑being, dignity, and independence of our senior participants.
COMPASSION in every interaction, ensuring kindness, empathy, and understanding guide our care.
CULTURE that reflects the diverse backgrounds of those we serve and fosters a workplace where every team member feels supported, valued, and empowered to grow.
COMMUNITY that fosters connection, belonging, and support for participants and their families.
COMMITMENT to quality improvement, innovation, and delivering healthier outcomes.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
#J-18808-Ljbffr
Benefits 401(k) Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Health savings account Life insurance Paid sick time Paid time off Referral program Retirement plan Vision insurance
Job Summary The Provider Relations Coordinator is responsible for coordinating and maintaining service relationships with Innovative Integrated Health (IIH) providers including physicians, hospitals, ancillary service providers and long‑term care facilities. Responds to electronic and direct inquiries from providers about policies, claims, patient referrals, authorizations, and credentialing. The Provider Relations Coordinator will provide support to the Provider Relations Administrators on projects such as provider outreach and engagement, provider office roster updates, and provider training initiatives. The Provider Relations Coordinator oversees the credentialing and re‑credentialing process by gathering all necessary and required documentation while ensuring timely completion. This role also maintains accurate and current provider information within relevant data systems.
Essential Job Functions
Initiating and maintaining effective channels of communication with provider offices.
Gathering, verifying and updating all pertinent information relating to participating healthcare providers.
Establishing and maintaining relationships with healthcare providers through e‑mail and telephone outreach, prompt resolution of issues, and excellent customer service.
Performing intake of specialty providers and responding to inquiries related to credentialing, claims, demographics, letters of agreement, contracting, etc., as needed.
Handling and responding to requests and queries for both internal and external entities related to provider information, as necessary.
Answering questions from provider offices related to prior authorization requests, claims processing, and the provider portal
Support changing management efforts and promote a culture of collaboration and continuous improvement.
Assisting Provider Relations Administrators and working with provider offices to complete contracts and letters of agreement or assist with more complicated authorization queries received.
Conducting training on IIH policies, procedures and services with provider offices.
Maintaining a working knowledge of all applicable federal, state, and local laws and regulations regarding healthcare.
Attend and participate in staff meetings, in‑services, projects, and committees as assigned.
Adhere to and support the center’s practices, procedures, and policies including assigned break times and attendance.
Accept assigned duties in a cooperative manner; and perform all other related duties as assigned.
May require use of personal vehicle, if applicable. If using a personal vehicle, a valid California Driver’s License, current proof of insurance, and vehicle registration are required.
Qualifications Knowledge, Skills, and Abilities
Proficient knowledge of computer skills. MS Office (Word, Excel, Access, PowerPoint, and Outlook).
Knowledge of general office procedures, equipment and filing systems.
Ability to communicate effectively, both orally and in writing.
Ability to quickly learn department policies, procedures, goals, and services.
Skill: Attention to detail and accuracy.
Ability to change priorities regularly.
Working Conditions and Physical Demands The working conditions and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to access all areas of the center throughout the workday.
Ability to lift a minimum of 35 pounds occasionally, 15 pounds frequently, and 7 pounds constantly; required to obtain assistance of another qualified employee when attempting to lift or transfer objects over 50 pounds.
Requires constant hand grasp and finger dexterity; frequent sitting, standing, walking and repetitive leg and arm movements, occasional bending, reaching forward and overhead; squatting and kneeling.
Work is generally performed in an indoor, well‑lighted, well‑ventilated, heated, and air‑conditioned environment.
Experience
Minimum of one (1) year of demonstrated experience in the healthcare field, preferably in a provider relations or provider network support role.
Managed care experience preferred.
Minimum of one (1) year of documented experience working with a frail or elderly population.
Education And Qualifications
High School diploma or equivalent required
Bachelor’s degree preferred.
Valid CA Driver’s License
Core Values
CARE is central to what we do, prioritizing the well‑being, dignity, and independence of our senior participants.
COMPASSION in every interaction, ensuring kindness, empathy, and understanding guide our care.
CULTURE that reflects the diverse backgrounds of those we serve and fosters a workplace where every team member feels supported, valued, and empowered to grow.
COMMUNITY that fosters connection, belonging, and support for participants and their families.
COMMITMENT to quality improvement, innovation, and delivering healthier outcomes.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
#J-18808-Ljbffr