Provider Administrator at Sterling Health HMO

Job Description

• Serve as a primary point of contact for healthcare providers within our network, addressing their inquiries and concerns promptly and professionally.
• Assist in the onboarding process for new healthcare providers, including documentation, credentialing support, and system integration.
• Maintain and update the provider database with accurate information, including contact details, specialties, and service agreements.
• Facilitate the dissemination of relevant information to providers, such as policy updates, procedural changes, and network updates.
• Support the processing of provider claims and resolve any related administrative issues in a timely manner.
• Assist in the development and maintenance of provider agreements and contracts.
• Coordinate meetings and communication between Sterling Health Insurance and healthcare providers.
• Prepare reports and analyses related to provider network performance and engagement.
• Ensure compliance with relevant regulations and internal policies related to provider management.
• Collaborate with internal departments, such as claims, customer service, and finance, to address provider-related matters.
• Assist in the planning and execution of provider engagement initiatives and events.
• Perform other administrative and support duties as assigned by the Provider Management team.