Job: Provider Relations Specialist

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Jobing Description

Monarch HealthCare, Where Great Careers Begin!

Monarch HealthCare has been recognized as one of "Orange County‚s Top Places to Work" for four consecutive years! Our employees set us apart!
Monarch HealthCare has been chosen for innovative National Healthcare Program! "Accountable Care Organizations" will help improve quality and lower costs! We are one of the five named "ACO‚s" throughout the country.

Monarch HealthCare is a medical group ("IPA") of over 2600 independent physicians in private practice dedicated to practicing medicine the way it was meant to be. Monarch HealthCare is owned and operated by doctors who believe in working collaboratively with all stakeholders to improve the delivery of healthcare in the communities we serve. We are an industry leader in providing coordinated care! Our commitment to our employees and our employee dedication to our physicians and patients is what differentiates us.

We are currently searching for an experienced, high energy professional Provider Relations Specialist to join our growing Provider Relations Department. You will be tasked with organizing and completing operational activities related to the needs of Monarch providers. Responsibilities include client services related to claims questions, authorizations for specialty services, health plan education and issue resolution.
Duties:
* Identifies, researches and resolves provider issues
* Develop strong relationships with providers that produce loyalty and trust
* On-site training of new and existing staff and/or physicians
* Coordinate and participate in office staff/physician training for various Monarch departments and initiatives
* Create and distribute education materials to provider offices
* Assist and coordinate health plan/provider disputes to a successful resolution
* Coordinate and attend joint operational meetings with hospitals, specialty groups and health plans
* Attend meeting such as GMM, OMM and others

Skills / Requirements

Qualifications:
* 2 year degree from an accredited college or university with emphasis in Marketing, Health Care Administration or other related field
* 2 to 3 years experience or training with a solid understanding of health plans, eligibility, or health care benefits
* Prior experience in a similar role for a similar health care organization strongly desired
* Strong MS Office skills with the ability to multi-task in a fast paced environment
* Stellar communication skills; able to communicate detailed health care information to both experienced and novice members of the health care community
* Positive attitude with a focus on team!
* Bi-lingual Vietnamese or Spanish strongly desired

Monarch HealthCare has assembled a competitive compensation package that recognizes the many contributions by our dedicated employees and strives to keep our employees as satisfied, long term business partners! Our competitive salary, robust employee health plans, generous retirement package and "work-life balance" vacation schedules are the cornerstone of our employee friendly health and welfare plans!
Monarch HealthCare has assembled a competitive compensation package that recognizes the many contributions by our dedicated employees and strives to keep our employees as satisfied, long term business partners! Our competitive salary, robust employee health plans, generous retirement package and "work-life balance" vacation schedules are the cornerstone of our employee friendly health and welfare plans!

For more information about this great career opportunity and all of our open positions, please visit our career site at www.mhealth.com

Monarch HealthCare, where great careers begin!