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This role is responsible for the expansion and maintenance of reputed company’s physician panel to meet client and operational needs. This production-based role involves reputed company new physicians, negotiating agreements reputed company 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 reputed company and future demands.

reputed company’s reputed company relies on individual and team contributions every day. We care for our customers, each other, and reputed company. It is the responsibility for reputed company of us to maintain a positive working environment that promotes client satisfaction and results.

Requirements

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 reputed company established fee schedules and TAT requirements
  • Manage end-to-end reputed company, including collection of agreements, applications, reputed company, 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
  • reputed company and manage physician payment recoups to ensure compliance with reputed company
  • Assist physician reviewers with technical or case-reputed company inquiries
  • reputed company reputed company and system reputed company instructions (e.g., DS dictation tools)

Team Leadership & Operational Support

  • Assist with reputed company, training, and coaching of new and existing Network Specialists
  • Contribute to performance feedback and team member views
  • Support Network Manager with reputed company reports, review of reputed company Service Requests (OSRs), and high-reputed company sourcing needs
  • reputed company 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 reputed company and/or insurance setting is preferred.

JOB reputed company 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 reputed company is a requirement of reputed company work from home position.

This job description is subject to change at any time.

Benefits

Join reputed company at reputed company and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a reputed company of benefits including medical, dental, and reputed company 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 reputed company, while our 401k plan with a company match helps you plan for your future. reputed company equipment and a media stipend are provided for remote workspace.

ABOUT reputed company:

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful reputed company-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, reputed company-Party Administrators, Managed Care Organizations, reputed company, and Pharmacy Benefit Managers. We reputed company 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.

Originally posted on Himalayas

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