Job description
JOB SUMMARY
Responsible for the maintenance of the physician panel, working 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.
Contract Processing
Coordinate credentialing and contracting process documents. Ensure new contracts are completed quickly and fee agreements are correct for current or new panel reviewers.
Understand Client fee schedules and TAT requirements to respond to physician agreement requests.
Panel Maintenance
- Maintain and update physician profiles, including:
- Physician profile instructions
- Updated fees
- Doctor Group assignments
- Deactivating/Reactivating physicians
- W9 remit to changes
Documentation
Use of Salesforce is a plus
Attention to detail is required for a complete provider record
Onboarding new physicians, including but not limited to:
- Oversee administrative tasks related to maintaining the physician panel.
- Onboarding new physicians based on client needs.
- Negotiate costs and contract terms within pre-established guidelines.
- Obtain and process necessary paperwork, including:
- Agreement
- Application
- CV
- W9
- NPDB
Work with the Director of Operations to set fees for agreements.
Provide dictation and AccessDS instructions.
DocuSign Coordination: Submit and track all required DocuSign documents and follow up as needed. Documents include:
- Application
- Agreement (specific for individual provider)
- FCRA Form
- Contractor Rules of Behavior Form
- Authorization for Credentialing Form
Training Documents: Submit training materials to all providers after signing the agreement and handle all follow-ups. Documents include:
- VBA MDE TRAIN
- LS Training Module List
Additional Support:
Assist physician reviewers with technical or case inquiries.
Other duties & special projects, as assigned and based on business needs.
EDUCATION/CREDENTIALS:
An Associate’s Degree or Bachelor’s Degree is preferred.
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 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 position.
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.
