Provider Services Advisor - East Bay/Alameda

About the role

Altais is a network of physician-led organizations in California, including Brown & Toland Physicians, Altais Medical Group Riverside, and Family Care Specialists. We aim to transform healthcare by reducing administrative burdens on physicians and improving the overall healthcare experience.

Responsibilities

• Serve as the primary internal contact for all service lines provided by Altais to our network physicians.
• Support the day-to-day administrative operations, provide exceptional service to physicians and office staff, and monitor physician participation.
• Advocate for current and future products, services, and operational processes, while promoting Altais' strategic goals, core values, and communications.
• Communicate challenges and deficiencies on behalf of the physician network, escalating issues as needed and ensuring timely resolutions.
• Educate physician practices on new and existing policies and procedures, including medical management review processes, claims payment policies, and clinical coding processes.
• Review existing policies to ensure compliance, troubleshoot provider issues, and identify non-compliant providers.
• Facilitate and complete administrative tasks associated with physician and office staff requests, tracking and trending physician status changes.
• Develop and maintain comprehensive knowledge of Altais’ services and product offerings.

Requirements

• Required Education: BA/BS degree or equivalent experience of 4 years working in direct managed health care administration or Physician office administration.
• 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).
• Ability to use independent judgment and initiative within established policies and procedures.
• 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 and effectively delegate tasks.
• Ability to maintain excellent relationships with internal and external stakeholders.
• Comprehensive knowledge and excellent customer service skills related to the complexities of physician practices.

Qualifications

• BA/BS degree or equivalent experience of 4 years working in direct managed health care administration or Physician office administration.
• Minimum 2-3 years of Patient and Physician portals and EMH or EMR system experience, preferred.
• Proficient in patient and physician portals and EMH or EMR systems.
• Ability to use independent judgment and initiative within established policies and procedures.
• 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 and effectively delegate tasks.
• Ability to maintain excellent relationships with internal and external stakeholders.
• Comprehensive knowledge and excellent customer service skills related to the complexities of physician practices.

Skills

• Required Education: BA/BS degree or equivalent experience of 4 years working in direct managed health care administration or Physician office administration.
• 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).
• Ability to use independent judgment and initiative within established policies and procedures.
• 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 and effectively delegate tasks.
• Ability to maintain excellent relationships with internal and external stakeholders.
• Comprehensive knowledge and excellent customer service skills related to the complexities of physician practices.

Pay

The base salary for this position is $75,000 - $90,000/year. In addition, we provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. Excellent medical, vision, and dental coverage, 401k savings plan with a company match, flexible time off, and 9 Paid Holidays are included.