Provider Contracting Specialist

Location: Robinson Township, PA

Position Type: Full Time

Desired Education Level: College Degree

Summary/Objective

This position identifies, sources, and recruits qualified providers to join the PCS physical therapy and diagnostic imaging networks.

Premier Comp Solutions offers a casual dress code, a team-oriented, comfortable work environment, a convenient office location, competitive compensation based on relevant experience, and excellent benefits including medical, dental, vision, Paid Time Off, 401K with match, and more.

Essential Duties & Responsibilities

1. Identifies, sources, and recruits qualified providers to join the Premier Comp Solutions physical therapy and diagnostic imaging networks.
2. Sources and screens potential candidates through various channels including but not limited to; company reference lists/directories, industry publications, national network databases, and various other recruitment tools and techniques.
3. Provides ongoing communications and follow-up with network prospects throughout recruitment and onboarding.
4. Negotiates financial and service terms of contracts with network provider prospects following the contract guidelines/parameters established by the Provider Relations Manager and Executive Management team
5. Alert Provider Relations Manager of any request from network prospects attempting to negotiate terms financial or otherwise that fall outside our corporate guidelines as established at the time.
6. Assists in the negotiation of Single Patient Agreements (SPA’s), document requests, and the entering of new network provider contracts received by other Provider Relations representatives.
7. Develop and maintain relationships with network provider professionals and organizations
8. Works in conjunction with the department coordinator and manager to develop a comprehensive recruitment program to ensure adequate network coverage following the needs and goals of the organization
9. Assists with identifying and assessing untapped areas of opportunity (white space mapping) and develops a strategic plan encompassing the immediate and long-term needs of the organization
10. Monitors the Provider Relations mailbox for credentialing inquiries/requests to ensure they are addressed timely
11. Follows all department procedures as outlined in the Provider Relations Manual about
recruiting/internal/external notifications, changes/updates in CMS or Document Manager

Other duties may be assigned as directed by management.

Qualifications

1. 2 year’s experience in provider recruitment preferred2. Healthcare background and/or medical provider recruitment experience is preferred
3. Strong proficiency in computer-based programs such as MS Office, Applicant Tracking Systems, online mining/sourcing, and interactive media tools.
4. Strong analytical and organizational skills
5. Excellent verbal and written communication skills
6. Ability to prioritize, problem solve, multi-task, and work independently
7. Ability to work well in a team environment, strong interpersonal skills