Physician Coordinator - Government Services

Position Overview

• Location Type: Remote
• Job Type: Contract
• Salary: Not specified

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.

Requirements

• 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.

Responsibilities

• 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.
• 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.
• 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:
      • Training Module List
• Assist physician reviewers with technical or case inquiries.
• Other duties & special projects, as assigned and based on business needs.

Application Instructions

• Not specified.