Paradigm logo
Paradigm

Paradigm is a crypto-focused investment firm based in San Francisco.

Provider Contract Administrator

AdministrationAdministrationFull TimeRemoteMid LevelTeam 1-10Since 2018H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

22 hours ago

Salary

$24 - $30 / hour

Seniority

Mid Level

No structured requirement data.

Job Description

Provider Contract Administrator

Paradigm

Role Description To establish relationships with providers to secure single-case agreements and permanent contracts at company approved jurisdictional margins. This may include delivering care coordination services on behalf of Paradigm’s clients. Duties and Responsibilities - Responsible for complying with Paradigm IT security requirement and policies. - Responsible for safeguarding Paradigm or Paradigm related IT passwords. - Responsible for notifying Paradigm of any IT security incidents per Policy No. 16.0 Information Security Incident Management. - Utilize proprietary company information/programs as well as non-company systems/programs to identify physician prospects. - Gather and submit provider/physician demographics/web address and submit for entry into company programs. - Utilize proprietary company programs/tools to identify optimal reimbursement range. - Calls physician and post-acute care provider prospects to explain company services and solicit/negotiate with them to accept referral via single case agreements with option for further referrals – deploying tactful negotiation skills. - This may include coordinating specifics types of post-acute care services with support from a post-acute care subject matter expert to ensure appropriate provider placement based upon the patient/injured worker’s health status. - Prepare single patient contract and submit to physician/provider. - Schedule initial appointment for most referrals. For post-acute care referrals ensuring the client’s case management points of contact are engaged with the provider and (where appropriate) ensuring a Paradigm Care Coordination team member is utilized to facilitate the flow of clinical information while the injured worker being treated. - Follow up with provider to ensure single case agreement has been signed and returned. - Follow up with provider regarding full participation. - Prepare, submit, negotiate and secure participation agreement as applicable. - Update proprietary programs daily- documenting efforts. - Act as a resource to answer any general provider contracting questions. - Perform data-analysis as requested by management. - Assist management in training new associates. - Perform additional duties as identified and directed by management. Qualifications - College degree preferred. High school diploma or equivalent acceptable with commensurate experience. - Exceptional communication and telephone skills required, as well as a great deal of patience, understanding and tact. - Possess a high level of self-confidence and persistence; maintain an assertive approach in dealing with providers. - Must possess excellent organizational skills and ability to multi-task effectively. - Demonstrate the ability to prioritize heavy workload independently with minimal supervision. - Proficient computer and internet skills; familiarity with Microsoft applications required. - Will develop in-depth knowledge of department and company internal workflows, including but not limited to individual jurisdictional statutes, procedures and negotiating protocols. - Call center experience a plus. - Bilingual (English/Spanish) a plus. - Workers compensation knowledge a plus. Benefits - Health and wellness – PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only). - Financial incentives – competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions. - Vacation – paid time off and personal holiday programs for work-life balance. - Volunteer time – one paid day per calendar year for community engagement. - Learning and development – support for continual learning through the Learning Excellence at Paradigm (LEAP) program.

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