Consults other departments as appropriate to provide for an interdisciplinary approach to the ... Identify network needs and report to management for potential contracting opportunities. * Review ...
Consults other departments as appropriate to provide for an interdisciplinary approach to the ... Identify network needs and report to management for potential contracting opportunities. * Review ...
Prior Auth Coordinator
San Bernardino, CA · On-site
$23 - $25/hr
Perform all assistant and coordinator job functions. * Able to solve complex prior authorization ... Request Network Management training or on site visit to provider offices needing reinforcement.
Prior Auth Coordinator
San Bernardino, CA · On-site
$23 - $25/hr
Perform all assistant and coordinator job functions. * Able to solve complex prior authorization ... Request Network Management training or on site visit to provider offices needing reinforcement.
The role of the Prior Auth/DME Coordinator is to promptly, efficiently and accurately execute all ... Request Network Management training or on site visit to provider offices needing reinforcement.
The role of the Prior Auth/DME Coordinator is to promptly, efficiently and accurately execute all ... Request Network Management training or on site visit to provider offices needing reinforcement.
Therapy Service Coordinator
Ontario, CA · On-site
$23/hr
Coordinates and processes physician referrals, reports and re-authorizations as directed by ... Communicates, collaborates, and participates with Therapy Provider Network team during meetings ...
Therapy Service Coordinator
Ontario, CA · On-site
$23/hr
Coordinates and processes physician referrals, reports and re-authorizations as directed by ... Communicates, collaborates, and participates with Therapy Provider Network team during meetings ...
Therapy Services Coordinator
Ontario, CA · On-site
$23/hr
Coordinates and processes physician referrals, reports and re-authorizations as directed by ... Communicates, collaborates, and participates with Therapy Provider Network team during meetings ...
Therapy Services Coordinator
Ontario, CA · On-site
$23/hr
Coordinates and processes physician referrals, reports and re-authorizations as directed by ... Communicates, collaborates, and participates with Therapy Provider Network team during meetings ...
Therapy Service Coordinator
Ontario, CA · On-site
$23/hr
Coordinates and processes physician referrals, reports and re-authorizations as directed by ... Communicates, collaborates, and participates with Therapy Provider Network team during meetings ...
Therapy Service Coordinator
Ontario, CA · On-site
$23/hr
Coordinates and processes physician referrals, reports and re-authorizations as directed by ... Communicates, collaborates, and participates with Therapy Provider Network team during meetings ...
Coordinates and processes physician referrals, reports and re-authorizations as directed by ... Communicates, collaborates, and participates with Therapy Provider Network team during meetings ...
Coordinates and processes physician referrals, reports and re-authorizations as directed by ... Communicates, collaborates, and participates with Therapy Provider Network team during meetings ...
Contract Coordinator
Anaheim Hills, CA · On-site
The Contract Coordinator is responsible for assisting the Contracting and Legal Department for the ... Minimum of one (1) year of experience in provider network development and/or provider network ...
Contract Coordinator
Anaheim Hills, CA · On-site
The Contract Coordinator is responsible for assisting the Contracting and Legal Department for the ... Minimum of one (1) year of experience in provider network development and/or provider network ...
The goal of the Inpatient Care Coordinator is to effectively support the in-patient management process by assuring the right information is provided timely to the RMG administrative management team ...
The goal of the Inpatient Care Coordinator is to effectively support the in-patient management process by assuring the right information is provided timely to the RMG administrative management team ...
Receives and responds to telephone calls from members and providers. * Verify eligibility and ... Identify network needs and report to management for potential contracting opportunities. * Monitor ...
Receives and responds to telephone calls from members and providers. * Verify eligibility and ... Identify network needs and report to management for potential contracting opportunities. * Monitor ...
The goal of the Inpatient Care Coordinator is to effectively support the in-patient management process by assuring the right information is provided timely to the RMG administrative management team ...
The goal of the Inpatient Care Coordinator is to effectively support the in-patient management process by assuring the right information is provided timely to the RMG administrative management team ...
Children's Network Event Coordinator*
$70.10K - $96.41K/yr
The Job Children's Network is currently recruiting for a Children's Network Event Coordinator* to ... providers, and promoting public awareness and shared understanding of risk factors of child abuse ...
Children's Network Event Coordinator*
$70.10K - $96.41K/yr
The Job Children's Network is currently recruiting for a Children's Network Event Coordinator* to ... providers, and promoting public awareness and shared understanding of risk factors of child abuse ...
Children's Network Event Coordinator*
San Bernardino, CA · On-site
$70.10K - $96.41K/yr
Children's Network coordinates preventative programs and services through collaboration and ... Accurate responses should be provided for each question, and all experience must be clearly ...
Children's Network Event Coordinator*
San Bernardino, CA · On-site
$70.10K - $96.41K/yr
Children's Network coordinates preventative programs and services through collaboration and ... Accurate responses should be provided for each question, and all experience must be clearly ...
Support coordination between outpatient providers and internal departments including: * Case ... Network Management * Collaborate between inpatient and outpatient care teams across the continuum ...
Support coordination between outpatient providers and internal departments including: * Case ... Network Management * Collaborate between inpatient and outpatient care teams across the continuum ...
Prior Auth Nurse Temp
$45 - $50/hr
... network management. * Research alternative care plans and when necessary, assist in the routing of ... When necessary, act as liaison between the case managers, UM coordinators, contracted providers ...
Prior Auth Nurse Temp
$45 - $50/hr
... network management. * Research alternative care plans and when necessary, assist in the routing of ... When necessary, act as liaison between the case managers, UM coordinators, contracted providers ...
Prior Auth Nurse Temp
$45 - $50/hr
... network management. * Research alternative care plans and when necessary, assist in the routing of ... When necessary, act as liaison between the case managers, UM coordinators, contracted providers ...
Prior Auth Nurse Temp
$45 - $50/hr
... network management. * Research alternative care plans and when necessary, assist in the routing of ... When necessary, act as liaison between the case managers, UM coordinators, contracted providers ...
What You'll Do The Provider Support Coordinator (PSC) is entrusted with delivering exceptional ... network providers. The PSC plays a vital role in the recommendation, development, and execution of ...
What You'll Do The Provider Support Coordinator (PSC) is entrusted with delivering exceptional ... network providers. The PSC plays a vital role in the recommendation, development, and execution of ...
Medical Director, Prior Auth IE/San Diego
$250K - $300K/yr
As part of a team of medical directors, nurses, and coordinators participate in the pre-service ... Provider Relations. Physician shall: * Work with the Employer's network management team to ...
Medical Director, Prior Auth IE/San Diego
$250K - $300K/yr
As part of a team of medical directors, nurses, and coordinators participate in the pre-service ... Provider Relations. Physician shall: * Work with the Employer's network management team to ...
Provide back up to the Outpatient Coordinators, as needed. * Assists Outpatient Case Manager(s) with arranging services for members, such has home health, DME, physician appointments, specialist ...
Provide back up to the Outpatient Coordinators, as needed. * Assists Outpatient Case Manager(s) with arranging services for members, such has home health, DME, physician appointments, specialist ...
Admin Asst 3
Ontario, CA · On-site
$28/hr
Aggregates and produces monthly data reports on network provider performance. * Coordinates and oversees audit data review as necessary. * Performs other duties as assigned. EDUCATION: Requires a ...
Admin Asst 3
Ontario, CA · On-site
$28/hr
Aggregates and produces monthly data reports on network provider performance. * Coordinates and oversees audit data review as necessary. * Performs other duties as assigned. EDUCATION: Requires a ...
Provider Network Coordinator information
See Perris, CA salary details
$35.7K - $39.5K
13% of jobs
$39.5K - $43.3K
5% of jobs
$43.3K - $47.1K
1% of jobs
$47.1K - $50.9K
4% of jobs
$51.4K is the 25th percentile. Wages below this are outliers.
$50.9K - $54.7K
16% of jobs
$54.7K - $58.5K
9% of jobs
The median wage is $59.1K / yr.
$58.5K - $62.3K
13% of jobs
$62.3K - $66.1K
13% of jobs
$67.2K is the 75th percentile. Wages above this are outliers.
$66.1K - $69.9K
7% of jobs
$69.9K - $73.7K
10% of jobs
$73.7K - $77.5K
9% of jobs
$35.7K
$59.4K
$77.5K
How much do provider network coordinator jobs pay per year?
What are the key skills and qualifications needed to thrive as a Provider Network Coordinator, and why are they important?
What are some common challenges a Provider Network Coordinator faces when managing relationships with healthcare providers?
What is a Provider Network Coordinator?
What does a network coordinator do?
What is the difference between Provider Network Coordinator vs Provider Relations Specialist?
| Aspect | Provider Network Coordinator | Provider Relations Specialist |
|---|---|---|
| Credentials | Healthcare administration, insurance knowledge | Healthcare or insurance background, communication skills |
| Work Environment | Healthcare organizations, insurance companies | Healthcare providers, insurance firms |
| Employer & Industry | Health plans, managed care organizations | Hospitals, clinics, insurance providers |
| Primary Focus | Managing provider networks, credentialing | Building provider relationships, communication |
The Provider Network Coordinator primarily manages provider networks and credentialing processes, ensuring network adequacy. In contrast, the Provider Relations Specialist focuses on building and maintaining relationships with healthcare providers through communication and support. Both roles are essential in healthcare organizations but differ in their core responsibilities and focus areas.

$23 - $25/hr
Full-time
Posted 27 days ago
Job description
Position Summary:
The Inpatient Care Coordinator is responsible for supporting the process that manages all hospital and skilled nursing admissions, concurrent review, and discharge planning. The goal of the Inpatient Care Coordinator is to effectively support the in-patient management process by assuring the right information is provided timely to the RMG administrative management team, hospitalists' and care managers.
Essential Duties and Responsibilities include the following:
- Anticipate our customer needs: Understand the wants and needs of customers, listen for cues and identify how to respond and what level of intervention they need.
- Refrains from discussing personal business in front of the customer or speak a foreign language different from the customer's language.
- Greets patients, family members, and physicians in a positive manner by introducing self, speaking clearly and with confidence.
- Returns phone calls to customers and follows up with requests.
- Demonstrates the ability to follow through with requests, sharing of critical information, and getting back to individuals in a timely manner.
- Demonstrates honesty and integrity in everyday activities.
- Protects privacy for both patients and employees; ensures all personal health information is kept confidential i.e., (sensitive papers, charts, and reports are not in view of the public).
- Recognizes when an error has been made and immediately reports to appropriate manager.
- Functions as liaison between care managers, patients, physicians, and other healthcare providers.
- Communicates appropriately and clearly to management, co-workers, and physicians.
- Communicates using age appropriate language.
- Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs.
- Maintains quality monitors as assigned by Supervisor.
- Participates in orientation, instruction/training of new personnel.
- Participates in the efficient, effective, and responsible use of resources such as supplies and equipment.
- Performs other duties assigned by management.
CRITICAL ELEMENTS
- Census will be verified every morning with regards to in house status and a review will be requested.
- Census reports should be printed daily before every rounds meeting.
- Authorizations for Home Health/DME/Hospice/Follow up appointments will be done coordinating with Care Managers.
- Request for authorizations will be given via fax/return phone calls.
- Monitor campus fax server and process accordingly.
- Communicate to Medical Director or designee, immediately any admissions to non-contracted hospitals.
- Provide face sheet to Medical Director or designee, immediately upon receipt and eligibility check.
- All new admissions are to be checked for Out of Area status.
- Confirmation of inpatient status of all inpatients will be obtained by 10 am for reporting at morning case rounds.
- Assist Inpatient Care Managers with planning for discharge by generating authorizations and scheduling appointments for services needed within 7 days of discharge.
- Communicate with High Risk/outpatient department(s) any services identified upon discharge that is necessary beyond 7 days after discharge.
- Support the safe, continuous delivery of medically necessary care and supportive ancillary services in the inpatient and transition to home care setting.
- Execute all post discharge needs (ie: PCP, Specialist appts, diagnostic studies, etc).
- Identify network needs and report to management for potential contracting opportunities.
- Review case statuses to ensure proper documentation and case closure. Work with assigned Care Managers to complete all documentation.
- All other duties as directed by management.
The pay range for this position at commencement of employment is expected to be around $23/HOUR TO $25/HOUR per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
About Heritage Provider Network
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Northridge, CA, US
Year founded
1996