Provider Relations Representative

Astrana Health, Inc. • Daly City, CA

3d • Hybrid

About The Position

We are currently seeking a driven Provider Relations Representative who will be responsible of both field and office activities in providing supports to the IPA’s provider network. This role involves collaborating with contracted providers to ensure comply with IPA and Health Plan standards. This is an in-person role that requires some travel in San Francisco and San Mateo County.

Requirements

• Must always have and maintain a reliable source of transportation
• 1-2 years of experience in provider network management, or a similar role within the healthcare industry
• Excellent written and verbal communication skills
• Must be able to frequently travel to designated service regions as required
• Proficient computer skills and Microsoft Office programs (i.e., Outlook, Excel, Word, and PowerPoint)

Nice To Haves

• Associate's degree in healthcare administration, business, or a related field preferred
• You enjoy helping others by providing clear and friendly support
• You’re a strong communicator who can explain processes and answer questions accurately
• You work well both independently and collaboratively with internal teams
• You’re adaptable and thrive in a dynamic environment, embracing change and continuous improvement

Responsibilities

• Respond to provider inquiries via phone, email, or in person, in a timely and professional manner
• Assist providers with billing questions, claim status, and account access issues
• Communicate company procedures, updates, and compliance requirements to providers
• Escalate complex issues to the appropriate internal departments for resolution
• Document interactions and maintain accurate provider records in the system
• Other duties as assigned

Benefits

• Equal Employment Opportunity and Affirmative Action employer

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree