Associate Dental Provider Network Contractor
Ewings Associates, Inc.
Michigan, Associate Dental Provider Network Contractor - Remote EWINGS is seeking Associate Healthcare Provider Network Recruiters to support dental provider network contracting efforts in Michigan. The project is estimated to be 6 months in length. Priority will be given to candidates who live in and work with Michigan dental providers. Dental experience required. The primary goals will be securing network participation agreements with dental providers and ensuring network adequacy for a major healthcare payer. This is a remote, project-based opportunity requiring strong communication skills, dental provider outreach experience, and an understanding of healthcare provider contracting. Managing Contracting Processes
+ Using supplied data, call dental providers, establish a relationship, and initiate a contracting discussion. Utilize provided marketing materials as appropriate.
+ Send contracts to dental providers, negotiate rates within provided negotiation range, manage other terms of the agreement.
+ Evaluate and negotiate contracts in compliance with client contract templates, reimbursement structure standards, and other key process controls.
+ Submit completed contracts. Ensure that all necessary documentation and information are included in the completed contract packets.
+ Follow up with colleagues and clients when necessary to keep a contract moving forward.
+ Guide dental providers through the credentialing process
Capture Activities In the prospect record, the Associate Network Recruiter will:
+ Enter detailed notes for every outreach that include the type of contact, a summary of the conversation/communications, and the date that the next outreach attempt is scheduled.
+ Capture and update the contract status as they flow through the contracting process, per client tracking processes.
+ Note which contract template(s) have been sent to the provider.
+ Update provider demographics as appropriate.
Provider Relations
+ Provide feedback from prospective and newly contracted providers to the client.
+ Perform problem analysis, identify solutions, and engage client stakeholders when necessary.
+ Inform provider of client's general credentialing process and requirements.
+ Escalate redlines when necessary.
+ Follow-up with client on redlines and other provider requests.
Qualifications:
+ Experience in dental provider contracting
+ Familiarity with dental networks and provider relations
+ Strong negotiation, communication, and organizational skills.
+ Proficiency in Microsoft Office and CRM tools for tracking outreach and contracts.
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