Job Description

Job Description

To apply for this position, please send a cover letter detailing your Network Development experience, along with your resume showing applicable experience to Careers@headsupcare.com

Roles and Responsibilities:

• Identify dental and medical providers in lacking geographic locations to establish a sufficient network of participating providers to serve our clients.
• Execute and review provider contracts, reimbursement rates, updates, and terminations received to ensure documents are accurate and complete.
• Research and resolve provider-related matters and effectively handle and respond to account changes and correspondence.
• Participate in audits of provider directory data to ensure accuracy of the information.
• Seek, contact and negotiate single case or prepay agreements to fulfill gaps in contracted provider coverage as needed for the business.
• Convert prepay providers to net terms as applicable.
• Develop relationships with providers and offers feedback if there are deficiencies in their response time, scheduling time and/or providing medical documentation in a timely manner.

Required skills and abilities:

• Understanding of the Workers Comp industry and ability to establish relationships with key administrators of new and participating group practices
• Familiarity with various healthcare provider contractual documents, fee schedules, addenda, delegation agreements, and credentialing applications as required to contract new offices
• Self-starter with the ability to convert insightful concepts into actionable tasks
• Ability to interact effectively with Clinical, Finance and Operational teams for positive provider recruitment outcomes

Education/Experience

• Workers Comp experience a MUST
• Minimum 2 years of experience in network development, provider relations or medical/dental recruitment.
• Previous sales and customer service experience OR network management experience strongly preferred
• Microsoft Office Applications
• Bi-lingual is a plus

Company Description

HeadsUp Healthcare is patient-first specialty managed care company for injured workers focusing exclusively on above the neck injuries.
We offer a generous benefit package including Medical, Dental and Vision benefits, paid time off, and opportunity for a 401K. We’re looking for talented and professional team members to provide superior customer care.

Company Description

HeadsUp Healthcare is patient-first specialty managed care company for injured workers focusing exclusively on above the neck injuries.\r\nWe offer a generous benefit package including Medical, Dental and Vision benefits, paid time off, and opportunity for a 401K. We’re looking for talented and professional team members to provide superior customer care.