Job Description
The Membership Associate processes and maintains documentation related to MSO participation and health plan enrollment. Inputs and updates client data in the customer relationship management software. Maintains accuracy of membership roster for select physician organizations. Independently administers several assigned responsibilities, ensuring excellent customer service for both internal and external clients.
Participate in daily activities of the membership process for clients & providers. Compiles and maintains current and accurate data for all providers in databases and online systems. Must have ability to audit data and make changes as appropriate with proper documentation. Monitors practice and physician applications and follows-up as needed. Communicate excessive timeframes for outstanding applications to the appropriate people. Ensure that provider terminations are processed accurately and in a timely manner. Collaborates with the practice coaches as needed to obtain accurate data for enrollment. Communicates with practices on a regular basis for physician updates, information requests, etc. Maintains confidentiality of sensitive physician information or membership documentation. Collaborates with MSO Operations Manager and Operations Consultant to reconcile physician lists and administrative payments. Work with membership team and MSO Operations Manager to optimize processes. Attends meetings as required. Performs other duties as assigned. Must be flexible in order to meet dynamic business needs.
About Provider Networks
Provider Networks processes and maintains documentation related to MSO participation and health plan enrollment.