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Liaison Jobs in Clovis, CA

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Liaison • clovis ca

Last updated: 10 days ago

Provider Relations Representative, Insurance Services

Community Medical CentersFresno, CA, United States
Full-time

Provider Relations Representative.The Provider Relations Representative is responsible for addressing provider issues, applying resolutions, and responding to inquiries in an accurate and timely ma...Show more

Ink Plant Manager

Executive Human Resource ServiceFresno, California, United States
Full-time
Quick Apply

EXECUTIVE HUMAN RESOURCE SERVICE.Engineering & Manufacturing, Printing, Packaging & Labeling Industry.No Relocation Expense Provided.SALARY: $75 - $85K - Based on Experience.Although, Individual ar...Show more

Case Manager

WestcareFresno, California, United States
Full-time
Quick Apply

Person in this position will be primarily responsible for a caseload of United States Armed Forces Veterans or Service Members who have been homeless and have experienced problems related to substa...Show more

Sales & Service Advisor

American Tire DepotFresno, CA, US
Full-time

We're a results-focused, performance-driven team that knows how to deliver.Every role here plays a key part in shaping an exceptional experience for our customers and for each other.We offer the ki...Show more

School Social Worker

FullShift Staffing, LLCClovis, CA
Full-time

We are seeking an experienced, full-time School Social Worker to support a campus for the 2023-2024 school year.This individual must have a proven track record of working with families and communit...Show more

Night Auditor

TradeJobsWorkforce93701 Fresno, CA, US
Full-time

Night Auditor Job Duties: Welcome guests in a warm and friendly manner overnight.Ascertains guests lodging, purchasing needs.Assists guests and owners in a branded, friendly, proactive, and effic...Show more

 • Promoted

RN Registered Nurse

Mental Health SystemsFresno, CA, US
Full-time

Provide operational oversight of nursing and provide direct client care including physical health monitoring.In the absence of a nurse, administer medications, assess symptoms, and evaluate patient...Show more

Customer Service Representative

Electrical Power Source FresnoFresno, CA, US
Full-time

Answer incoming phone calls from residential and commercial customers, AHJ entities, PG&E/SoCal Edison, while maintaining a high level of customer satisfaction and phone etiquette as the initial po...Show more

Remote Healthcare Talent Liaison

MLee Healthcare Staffing and Recruiting, IncFresno, CA, United States
Full-time

Remote Healthcare Talent Liaison.Start Your Journey as a Healthcare Talent Liaison with a Leading Team of Experts Link Purpose with Pay from Anywhere.Imagine a career move that isn't merely a job b...Show more

Personal Assistant

TradeJobsWorkForce93778 Fresno, CA, US
Full-time

Answer phone calls received and direct them appropriately Record notes and messages for the employer Schedule and arrange meetings and conferences Manage travel arrangements and itineraries on beha...Show more

 • Promoted

Sales Liaison-Hospice

amedisysFresno, California
Full-time

Are you looking for a rewarding career as a hospice liaison? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.The id...Show more

Veterinary Emergency Client Service Liaison

Ethos Veterinary HealthFresno, CA, US
Full-time
Quick Apply

Job description: Fresno Veterinary Specialty and Emergency Center is the premier specialty and emergency hospital in the Central Valley.We are looking for enthusiastic canidates to join our award w...Show more

Community Outreach Director

Prosperity Training CenterFresno, CA
Full-time

Tulare, CA (travel may be required).Prosperity Training Center is dedicated to preparing the next generation of Certified Nursing Assistants (CNAs) with the skills, confidence, and support they nee...Show more

Service Line Leader Oncology

Trinity HealthFresno, California, 93720
Full-time

The Service Line Leader is an integral and significant contributor to the Saint Agnes Medical Center (SAMC) leadership and is responsible for working in concert with Saint Agnes colleagues and phys...Show more

Emergency Department (ED) Nurse Leader — Director/Manager of Emergency Services (with $7,500 Completion Bonus)

ATC - NorthwestFresno, CA, US
Full-time

Emergency Department (ED) Nurse Leader — Director/Manager of Emergency Services - Travel Position (with $7,500 Completion Bonus).The Emergency Department Nurse Leader is responsible for directing t...Show more

Mechanical Project Manager

GpacFresno, California, United States
Full-time

Project Manager needed for a well-respected, growing company! This company has many years of proven excellence and shows no signs of slowing down!!.Do you bring 10+ years of HVAC, MEP project manag...Show more

Travel Nurse RN - Emergency Room (ER) / Trauma - $2,086 to $2,239 per week in Clovis, CA

TravelNurseSourceClovis, CA, US
Full-time

Registered Nurse (RN) | Emergency Room (ER) / Trauma.Host Healthcare is an award-winning travel healthcare company with an immediate opening for this.Passionate and transparent team members have ma...Show more

Therapy - PTA

Cynet HealthFresno, CA, United States
Full-time

Job Title: Physical Therapist Assistant.Duration: 12 Shift: Day Shift Hours per Shift: 8 Experience: Minimum Years of Experience: Not specified License: Physical Therapy Assistant licensure with th...Show more

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Provider Relations Representative, Insurance Services

Provider Relations Representative, Insurance Services

Community Medical CentersFresno, CA, United States
10 days ago
Job type
  • Full-time
Job description

Job Title

Provider Relations Representative

Job Description

The Provider Relations Representative is responsible for addressing provider issues, applying resolutions, and responding to inquiries in an accurate and timely manner for both participating and non-participating providers. The Provider Relations Representative trains new and existing providers in accordance to Community Care Health (CCH) policies and procedures and completes provider on-site audits. Additionally, this position delivers provider relations support to internal departments, including but not limited to Contracting/Network Management, Quality, Compliance, and Medical Management. The provider representative also leads small projects for the department.

Key Responsibilities:

  • Field Liaison: Acting as the "go-between" for the health plan and providers.
  • Field Presence: Out of the office regularly, interfacing directly with the provider community.
  • Education: Meeting with office staff to teach them how to use the portal, check eligibility, and understand prior authorization policies.
  • Problem Resolution: Triaging provider issues (claims, authorizations, eligibility) and following through with internal departments (Claims, UM) until resolved.
  • Data Integrity: Working with Provider Network Ops to audit and update the provider directory.

On-site (Base office at Shaw) when not traveling to providers offices. This position will have heavy field travel to provider offices.

Qualifications

Education:

  • High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
  • Bachelor's Degree in Business or Healthcare Administration required
  • Equivalent combination of education and experience may be substituted for the Bachelor's Degree requirement

Experience:

  • 2 years of experience in managed care, physician office, or health plan environments required
  • Health Plan experience is highly preferred to navigate internal issue resolution.
  • Local candidates are a major plus (those with existing local provider relationships).
  • Experience preferred for core systems: QNXT (will train), Word, and basic Excel (for tracking visits).
  • High-level presentation skills, patience, and strong listening/articulation abilities preferred.

Disclaimers

Pay ranges listed are an estimate and subject to change.
If any bonuses are noted, they are only applicable to external hires meeting criteria.