JOB SUMMARY
Responsible for the maintenance of the physician panel, negotiating costs with physicians within pre-established guidelines, and onboarding new physicians based on Client needs.
Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other, and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results.
MAJOR DUTIES & RESPONSIBILITIES
Panel Maintenance
- Physician profile instructions
- Updated fees
- Doctor Groups
- Deactivating/Reactivating physicians
- W9 remit to changes
- Responsible for the administrative tasks relative to the maintenance of the physician panel
- Onboarding new physicians based on Client needs
- Negotiating costs/contract terms according to pre-established guidelines
- Obtaining necessary paperwork including agreement, application, CV, W9, NPDB
- Working with the Director of Operations to set the fees for agreements
- Providing dictation/Access DS instructions
Assisting physician reviewers with technical or case inquiries.
Sourcing/Fulfillment of Open Service Requests for referrals requiring urgent network recruitment. Requires daily updates on sourcing efforts.
Work closely with operational teams to ensure the network meets the specific needs of the business relative to the various physician specialties.
Other duties & special projects, as assigned and based on business needs.
EDUCATION/CREDENTIALS:
An Associate’s Degree or Bachelor’s Degree is preferred.
JOB RELEVANT EXPERIENCE:
Physician recruitment experience in a Healthcare/Insurance setting or equivalent transferable skill set.
Business experience in a healthcare and/or insurance setting is preferred.
JOB-RELATED SKILLS/COMPETENCIES:
Working knowledge of physician networks, recruitment, medical specialties, and terminology. General knowledge of State and Federal compliance guidelines. Strong negotiation skills, communication skills, understanding of medical terminology, critical thinking, organizational skills, ability to manage time efficiently and to meet specific deadlines. Computer literacy and typing skills are required.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Any lifting, bending, traveling, etc. required to do the job duties listed above. Long periods of sitting and computer work.
WORK FROM HOME TECHNICAL REQUIREMENTS:
Supply and support their own internet services.
Maintaining an uninterrupted internet connection is a requirement of all work-from-home positions.
This job description is subject to change at any time.
Benefits
Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.
ABOUT DANE STREET:
A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.
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