Provider Network Operations Ipa Rep
CurrentManaging a county-wide provider network of 17 health centers to improve database accuracy between health plans- Organizing final activation documents of specialty & primary care providers under 10 contracted IPA health plans- Conducting outreach for all in-network health centers to verify provider statuses & update database entries accordingly - Instructing health plans on membership transfers to alternative practitioners upon provider terminations from network-Maintaining lists of enrollment ID numbers from the health plans on providers w/membership added to network- Crafting & processing member letters for mailing upon termination of providers via mail merge from claims report