Director Provider Payor Relations – WC PIP Payor Strategy Position Available In Palm Beach, Florida

Director Provider Payor Relations

• WC PIP Payor Strategy Florida Spine Associates
• 3.

5

West Palm Beach, FL Job Details Estimated:

$66.4K

• $87.1K a year 1 day ago Qualifications Microsoft Word Microsoft Excel Microsoft Outlook Customer service Personal injury law Project management Patient care Senior level Leadership Communication skills Full Job Description Director
• Provider Payor Relations and Development
• WC/PI Payor Strategy Responsible for Strategic Planning and Business Development in the Legal, WC/PI Service Lines for provider growth in patient care.

The candidate will have strong background in the Operations of a Medical Legal WC Department, Risk Management, and Corporate Wellness for WC treatment, NCM, Adjusters and WC insurance plans for care referrals. Direct Focus on strategy for growth in the WC Market. In addition, the Director will be responsible for the day-to-day operations of the Legal Department, building and implementing best practices for client and patient access with improved efficiency and satisfaction. Oversee the designated onsite department for all WC and PI Legal Patient Care. Provides leadership and individual motivation; recommend and implement policies and workflows to ensure client and patient satisfaction. Provide a knowledgeable and welcoming public image of the FSA brand. The Director will collaborate with our Marketing Director for PI Legal outreach and will be solely responsible for WC growth and development.

KNOWLEDGE SKILLS AND ABILITY

Must possess knowledge in Physician Development and Business Growth with direct relationships with WC Referral Sources. Knowledgeable in Medical Practice Operation in

PIP/PI/WC

Medical Patient Care and Billing. The Director will drive operational efficiencies and process improvement while developing, documenting and enforcing internal controls to create consistency in the department. Excellent leadership, management, and project management skills Ability to work independently and demonstrate initiative in identifying problems, creating solutions, and developing systems to maximize effectiveness. Ability to communicate effectively and work with cross functional teams. Ability to embrace, manage diversity and build and maintain successful teams. Effective problem solving and ability to analyze and use data for decision making. Effective interacting with people and developing positive relationships while being tactful, respectful, and direct in communication Effectively build teams, achieving results, and driving results through others Proficient in Microsoft Outlook, Excel, and other web-based software Strong customer service focus: ability to effectively interface with and influence internal/external stakeholders. Excellent verbal and written communication skills

POSITION DUTIES AND RESPONSIBILITIES

Formulate and implement strategies and initiatives for WC payor contracting, including short and long-term strategies that support maximizing fee-for-service revenue. Work with the Legal and operations teams in the due diligence and integration of new practice partnerships Help identify and lead process improvements and development as FSA continues to expand into the WC Insurance Line. Participate in strategic planning and provide insights on referral strategy. Lead and manage payor contract negotiations, including evaluating and redlining key language provisions (must be proficient in Microsoft Word) Collaborate with revenue cycle, legal, and finance teams to ensure compliance and operational readiness. Strategy planning on ways to expand and increase referrals from NCM, Adjustors and WC referral sources Marketing/Outreach to business for opportunity to offer Care to Injured employees. Department oversite and coverage for the department operations including: Negotiate & Track All Settlements on Patients Accounts with Attorneys’. Communicate with Attorneys and Paralegals to complete all requested tasks and physician issues. Delegate as needed. Provide accurate billing ledgers to records clerk or attorney as requested timely. Obtain surgical fees from surgical coordinates for demand when requested by attorney. Communicate with all providers for settlements, depositions, phone conferences, pre depositions, CME/IME, and court hearings. Schedule all pre depositions, deposition, phone conferences, CME/IME, and court hearings in ECW and on the physicians Outlook calendar including all appropriate information. Confirm the day before regarding above and advise the physician. Create invoices for above and confirm payment received prior to scheduled date. Lead and Direct department questions regarding legal cases as needed