Job description
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
- Understand Client fee schedules and TAT requirements in order to Negotiate physician agreement terms
- For existing physicians, assist with maintaining:
- Physician profile instructions
- Updated fees
- Doctor Groups
- Deactivating/Reactivating physicians
- W9 remit to changes
- Research and conduct outreach when new panel options are needed
- Onboarding new physicians including but not limited to:
- 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.
