IPA Coordinator

Job Description

Job Description

Description

Job Title : IPA Coordinator

Department : Marketing Ops – Alpha Care

What You'll Do

• Help support inquires received from the Provider Relations Team Research claims, eligibility, and compliance items raised by physician practices
• Ability to handle provider concerns in an empathetic, effective, and timely manner
• Assistance in handling provider status change requests, including terminations, adding of providers, address change, telephone change, etc.; Ensure the accuracy of all assignments related to provider changes and complete all requests in a timely manner
• Assist Manager to draft provider documents including formal letters, faxes, certified mail, and drafting of these documents as assigned
• Act as liaison between internal departments and external entities to effectively communicate and follow-up in a timely manner to resolve provider inquiries and requests
• Review providers’ add, termination, and demographic update requests
• Identify providers’ data error and coordinate with responsible parties to correct
• Accurately log all providers’ requests and be able to provide monthly summary to Manager
• Responsible to maintain and update provider manuals annually
• Perform other duties as necessary or assigned by the Manager / Director

Qualifications

You're great for this role if

Environmental Job Requirements and Working Conditions

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.

Additional Information :

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.