Location: all cities,TX, USA
EWINGS Network Contractors are typically responsible for leveraging provider targets and data surrounding network requirements to contact providers, build relationships, negotiate contracts, and manage various elementsof the contracting process. These mid-level resources are adept at securing professional and ancillary individual providers and small groups. They are focused on executing the network strategy to maximize the number of contracted providers.
Managing Contracting Processes
Within the provided data, identify potential providers by geographic and specialty needs.
Using supplied data, call providers, establish a relationship, and initiate a contracting discussion. May use client provided marketing materials as appropriate.
Send contracts to providers, negotiate rates within client 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. Negotiate rates within the client's provided negotiation range.
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.
Capture Activities
In the prospect record, the network contractor 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.
Notate 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.