Physician Recruiter

🕒 Maio 19

🤠 Texas – Remoto

🤠 Texas – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🎯 Recrutador

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Dane Street

SiteLinkedInTodas as Vagas

51 - 200 funcionários

⚕️ Seguro de Saúde

📋 Conformidade

🏛️ Governo

Healthcare Insurance • Compliance • Government

A Dane Street é líder nacional em Exames e Revisões Médicas Independentes, fornecendo Exames Médicos Independentes (IMEs), Revisões por Pares e outros laudos médicos de forma objetiva, em conformidade e dentro dos prazos. Com uma ampla rede de mais de 16. 000 médicos, a empresa oferece serviços em 25. 000 localidades e 100 especialidades, incluindo sinistros de compensação trabalhista (Workers’ Compensation), automóvel, responsabilidade civil (Liability) e incapacidade (Disability). A Dane Street atende seguradoras, Third-Party Administrators (TPAs), organizações de Managed Care e órgãos federais/estaduais com análises médicas especializadas, ajudando-os a tomar decisões precisas. A empresa é reconhecida pela qualidade, prazos de entrega ágeis e processos eficientes, tendo conquistado credenciais como a Acreditação da NCQA em Utilization Management e a certificação Great Place to Work.

Descrição

• Maintain and expand Dane Street’s physician panel. • Negotiate physician fees within pre-established guidelines. • Onboard new physicians based on client demand. • Ensure that all open service requests (OSRs) are resolved promptly. • Understand client fee schedules and turnaround time (TAT) requirements. • Conduct outreach for refunds or recoupments; collaborate with Finance and Legal when collections are required. • Maintain existing physician records, including fee updates, W9 and remittance changes, profile instructions, doctor groups, and deactivations/reactivations. • Research and source new panel options as needed. • Negotiate rates and contract terms per company guidelines. • Collect necessary documentation (agreements, CVs, applications, W9s, NPDB reports). • Coordinate with the Director of Operations to finalize fees. • Lead contract renegotiations for existing physicians (agreements, pricing changes, special initiatives). • Handle complex client requests, especially those involving niche specialties or urgent network gaps. • Assist physician reviewers with technical issues or case-specific inquiries. • Fulfill high-priority OSRs by recruiting appropriate specialists and providing daily updates on progress. • Collaborate with operations to ensure network alignment with business needs. • Support other projects and tasks as assigned by leadership. • Stay current on industry trends and compliance requirements.

🎯 Requisitos

• Associate's or Bachelor's degree preferred. • 3–5 years of physician recruitment experience in a healthcare or insurance environment. • Familiarity with provider networks and healthcare operations is strongly preferred. • Deep understanding of physician recruitment, medical specialties, and related terminology. • Strong negotiation and communication skills. • Working knowledge of federal/state healthcare compliance standards. • Excellent time management, critical thinking, and organizational abilities. • Proficiency in Microsoft Office and general computer systems.