Professional, Physician Contractor

MVP Health Care
United States, Vermont, Williston
62 Merchants Row (Show on map)
Mar 01, 2025
Professional, Physician Contractor Plattsburgh, NY, USA * Vermont, USA Req #2356 Friday, January 24, 2025 At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Professional, Physician Contractor to join #TeamMVP. If you have a passion for collaboration and ensuring high-quality patient care this is the opportunity for you. What's in it for you: Growth opportunities to uplevel your career A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team Competitive compensation and comprehensive benefits focused on well-being An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York Qualifications you'll bring: Bachelors Degree preferred, equivalent experience may be substituted if the candidate can demonstrate significant relevant work experience. Minimum of 5 years in health insurance or equivalent experience in Finance or Contract Management or equivalent provider office experience. Knowledge of ICD-10, CPT-4, HCPCS coding Strong proficiency in problem solving and analysis Demonstrated ability to interact with all levels of management Adaptability and flexibility in a changing environment Ability to use Excel, Microsoft Office, Power Point Excellent presentation skills Excellent follow up skills Excellent verbal and written communication skills Strong interpersonal skills and ability to work independently Curiosity to foster innovation and pave the way for growth Humility to play as a team Commitment to being the difference for our customers in every interaction Your key responsibilities: In collaboration with the Provider Partnership Liaison team, troubleshoots, problem-solves, and resolves triaged provider issues including (but not limited to): Claims Inquiries Payment Inquiries Recovery Inquiries Appeals Status Provider Configuration Errors Configuration Validation Policy Questions Initiates and drives interdepartmental collaboration with key stakeholders from departments such as Operations, Utilization Management, Quality and Member Appeals to resolve provider issues efficiently and effectively. Upon resolution of the above, Internal PR Representative will communicate findings with Provider Partnership Liaison Team to close the loop with impacted providers. Assists with adherence of compliance and/or regulatory requirements as needed. Assists with Provider Payment Policies, as necessary. Participates in meetings and supports successful implementation for assigned projects. Ability to maintain confidentiality and adhere to regulatory compliance issues as they exist and change from time to time. Proactive in identifying areas for efficiency improvement across all of Network Management; consistently challenges the status quo in favor of incremental improvement opportunities that could be achieved through new methods Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Reside in one of the following markets: VT/Northern NY Hybrid or Virtual (depending on candidate's proximity to an MVP office) w/ the focus on external meetings with providers in the service markets. Ability to travel consistently throughout a designated MVP service area with occasional overnights stays. Travel requirements 25-50% -- both within designated MVP service market and between markets at MVP offices as needed. Pay Transparency MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. MVP's Inclusion Statement At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at hr@mvphealthcare.com . Other details Job Family Network Management & Development Pay Type Salary Min Hiring Rate $69,383.00 Max Hiring Rate $83,259.00