Select Medical

  • Provider Enrollment Network Development Coordinator - Birmingham, AL

    Job ID
    67084
    Location
    US-AL-Birmingham
    Experience (Years)
    0
    Category
    Sales/Marketing
    Street Address
    500 Riverhills Business Park, Suite 500
    Company
    Select Medical
    Position Type
    Full Time-Regular
  • Overview

    Select Medical Corporation's Outpatient Division is a nationally prominent, locally driven provider of outpatient physical rehabilitation with approximately 1500 locations in 37 states, including the District of Columbia. Throughout the country we operate primarily as Select Physical Therapy, NovaCare Rehabilitation, Physio, Kessler Rehabilitation Center, KORT, Saco Bay Physical Therapy, Concentra, SSM Physical Therapy and Keystone Physical Therapy. Our highly respected clinical team provides preventative and rehabilitative services that maximize functionality and promote well-being. We develop individualized treatment plans to help achieve each patient's specific goals. Our integrated local market network allows us to effectively partner with physicians, employers, payors and case managers to achieve optimal patient outcomes in a cost-effective manner. We also provide physical therapy and athletic training services to professional sports teams, colleges, universities and high schools.

    Responsibilities

    The Network Development Coordinator will assist with maintenance and expansion of specialty networks to insure customer density, service, quality and geographical requirements. 

     

    Essential Functions -

    • Research potential network participants to assist with development of state, regional and national networks as directed
    • Negotiate single case agreements and rates with providers as directed
    • Maintain open communications with Referral Management Office staff in regards to status of service requests
    • Facilitate exchange of required documents, i.e. contracts, credentialing packets, W9, Certificate of Insurance, etc with providers
    • Respond to provider inquiries and, or complaints to ensure open communication and prompt resolution of provider issues
    • Maintain internal and provider data integrity, standardized and ad hoc network development reports including provider database
    • Communicate provider demographic and reimbursement information for loading in internal database and external claims system
    • Assist with Provider Education to ensure smooth transition into the network

    Qualifications

    Required Skills & Abilities - 

    • Knowledge of contracting, provider relations or network development
    • Demonstrated problem solving - decision making skills; exceptional customer service skills
    • Excellent written and oral communication skills; detail oriented
    • Good organizational skills, ability to prioritize to meet deadlines and work independently
    • Technical ability; demonstrated experience with Excel, Microsoft Word and PC software