Job description
This role is responsible for the expansion and maintenance of Dane Street’s physician panel to meet client and operational needs. This production-based role involves onboarding new physicians, negotiating agreements within pre-established guidelines, and ensuring ongoing compliance and accuracy of physician data. This role works closely with business leads, operational teams, and the Director of Operations to ensure the government team meets current and future demands.
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 Expansion & Recruitment
- Partner with business leads to identify specialty and geographic gaps in the panel
- Research, identify, and recruit new physicians to support operational volume
- Negotiate cost and contract terms within established fee schedules and TAT requirements
- Manage end-to-end onboarding, including collection of agreements, applications, CVs, W9s, and NPDBs
- Set fee structures in collaboration with the Director of Operations
Panel Maintenance
- Maintain accurate physician profile instructions, updated fees, doctor groups, and remit-to details
- Process physician deactivation/reactivation and manage W9 updates
- Oversee and manage physician payment recoups to ensure compliance with contracts
- Assist physician reviewers with technical or case-related inquiries
- Provide onboarding and system access instructions (e.g., DS dictation tools)
Team Leadership & Operational Support
- Assist with onboarding, training, and coaching of new and existing Network Specialists
- Contribute to performance feedback and team member views
- Support Network Manager with outreach reports, review of Open Service Requests (OSRs), and high-priority sourcing needs
- Lead or assist with special projects and strategic initiatives based on evolving business requirements
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:
Business experience in a healthcare and/or insurance setting is preferred.
JOB RELATED SKILLS/COMPETENCIES:
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 position.
This job description is subject to change at any time.
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.
