1 Physician Relations Representative I Job in Oakland, CA
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Altais Health Solutions is Hiring a Physician Relations Representative I Near Oakland, CA
- Positively supports organizational and departmental strategies and goals. Promotes overall tone, providing outstanding physician service (written and verbal); ensuring high quality professional communication and timely service to the network. Promotes positive relations with physicians and office staff ensuring long-term, helpful relations.
- Acts as an internal and external liaison and resource to Brown & Toland Physician Services Representatives II, physicians and office staff; primary focus on representing Brown & Toland Physician Services Department and resolving challenges in an expedited manner.
- Independently works with internal departments to communicate challenges and deficiencies on behalf of the physician network and expedites resolution. Escalates challenges to direct supervisor or appropriate department. Utilizes and applies Brown & Toland’s systems, policies and procedures and tracking tools to ensure challenges are resolved and tracked in an efficient and timely manner.
- Serves as the first contact for physician network support for Brown & Toland’s electronic network tools). Deploys EpicLink and the Provider Engagement Portal to contracted Brown & Toland offices. Works internally and externally; providing education, training, and day to day support.
- Participate(s) and represents Physician Services in multi-department work groups when appropriate; problem solving/resolution (access, quality of care, claims issues); responsible for the documentation, communication, tracking/trending, completion of tasks for Physician Services.
- As new physicians are recruited, you will support internal departments with onboarding new physicians and staff that are joining Brown & Toland or existing groups and practices. Assist, as needed, account set ups, agreements, and paperwork
- to ensure best practice utilization with Brown & Toland products, e-tools, tools and services.
- Facilitate, support and complete administrative tasks associated with physicians and office staff requests. Identify, track and trend physicians, staff and/or practices that are entering, retiring, or relocating Brown & Toland.
- Schedule and facilitate internal and external meetings, as necessary, to ensure all relevant issues are discussed and resolved (i.e. contracting, claims, administrative issues); promote positive relationships between the Providers and Brown & Toland.
- Attend relevant meetings, develop and manage work plans, to track and report trends, issue accurate minutes and facilitate appropriate follow up in timely manner
- Educate physician practices regarding new and existing policies and procedures, including but not limited to medical management review processes, claims payment policies and processes, clinical coding policies and processes.
- Review and understand existing policies to ensure maximum compliance, troubleshoot issues raised by providers and distribute any needed materials; identify non-compliant providers, and providers with member complaints.
- Develops and maintains knowledge level of Brown & Toland’s services and product line offerings.
- Perform additional duties and projects as assigned by leadership.
Minimum Experience: 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 system
- Use independent judgment and initiative within established policies and procedures.
- Ability to effectively communication and maintain excellent relationships with internal and external stakeholder to successfully support compliance and high levels of service.
- Excellent communication skills, both written and verbal.
- Strong understanding of physician office operations, including interfaces and interdependencies between offices, health plans, and IPAs
- Demonstrated flexibility and strong organizational skills with the ability to prioritize duties, effectively delegate and engage, identify, support and follow through with needs of our internal organizations and our Network Physician Service expectations to conclusion.
- Demonstrated ability of comprehensive knowledge and excellent customer service skills as it relates to the complexities of physician practices.
- You are passionate about improving the healthcare experience and want to be part of the Altais mission.
- You are bold and curious- willing to take risks, try new things and be creative.
- You take pride in your work and are accountable for the quality of everything you do, holding yourself and others to a high standard.
- You are compassionate and are known as someone who demonstrates emotional intelligence, considers others when making decisions and always tries to do the right thing.
- You co-create, knowing that we can be better as a team than individuals. You work well with others, collaborating and valuing diversity of thought and perspective.
- You build trust with your colleagues and customers by demonstrating that you are someone who values honesty and transparency.
Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.
The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate’s qualifications, skills, experience, and geographic location. This base pay range is specific to California and can vary based on Bay Area, Metro LA, and Greater California regions which may not be applicable to other locations.
Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our ‘CPRA Privacy Notice for California Employees and Applicants’ to learn how we collect and process your personal information when you apply for a role with us.
Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork – Activity level: Sedentary, frequency most of workday.
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
Job Summary
Full Time
$135k-176k (estimate)
03/11/2024
06/01/2024
The job skills required for Physician Relations Representative I include Customer Service, Communication Skills, Organizational Skills, Microsoft Office, Problem Solving, Initiative, etc. Having related job skills and expertise will give you an advantage when applying to be a Physician Relations Representative I. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Physician Relations Representative I. Select any job title you are interested in and start to search job requirements.
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