Job Description
A Healthcare Recruiter/Physician Recruiter/Network Specialist is responsible for the maintenance of the physician panel, negotiating costs with physicians within pre-established guidelines, and onboarding new physicians based on Client needs.
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
- Responsible for Physician payment recoups
- 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 may vary depending upon business needs.
EDUCATION/CREDENTIALS:
Associateโs Degree is preferred but not required.
JOB RELEVANT EXPERIENCE:
Physician recruitment experience in a Healthcare/Insurance setting or equivalent transferable skill set.
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.
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.
PLEASE BE AWARE: In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.
ABOUT DANE STREET:
A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful, astute forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workersโ Compensation, Disability, Auto and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers and Pharmacy Benefit Managers. We provide customized Independent Medical Exam and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.
Benefits
We offer generous Paid Time Off, an excellent benefits package, and a competitive salary. If you want to work in an exciting, fast-paced environment where you can provide meaningful contributions, then we encourage you to apply.
Date Posted
04/01/2024
Views
8
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