Director of Provider Services

Arbor Healthcare is a healthcare claims expert that specializes in resolving payment errors quickly, efficiently and securely for health plans and providers. We optimize recoveries for health plans by working closely with providers to analyze and resolve credit balances. With a client-centered service model unique to the industry, we focus on developing strong and enduring relationships with both health plans and providers.

 

The ideal candidate for our Director of Provider Services will have previous management experience, exceptional organizational skills, proven success in building and maintaining business relationships, prior experience in hospital and/or medical billing offices, thorough knowledge of claims processing and analysis and a strong desire for success.

 

OBJECTIVES:  Build and manage provider relations in designated region/state, while performing on-site credit balance reviews at hospitals and billing offices, recovering overpayments for health plan clients and analyzing and resolving credit balances for providers.Supervise team of Provider Services Analysts in designated region/state, conduct performance reviews, counsel staff; manage daily scheduling of analysts, handle performance improvement and disciplinary actions, conduct interviews as required. Build and maintain positive business relationship with hospital business office staff. Identify barriers to success and develop strategy to overcome these barriers.

 

REQUIREMENTS:Prior management experience in a healthcare environment, ideally having supervised staff in a hospital business office or medical billing office.Prior experience working with managed care contracts.Proven success in team building and fostering positive team environment.Exceptional interpersonal skills.Proven ability to maintain and enhance existing client relationships; previous client service experience or customer contact experience.Strong computer/data entry skills; adaptability to new systems.Thorough knowledge of the daily operations related to the application, balancing, and logging of payments and reimbursement transactions.Bachelor’s degree preferred but not required.Willingness to travel locally up to 50 or 75%.

 

KEY STRENGTHS:

Leadership skills. Ability to motivate others and build cohesive team environment. Analytical. Mathematical. Detail oriented. Goal and results oriented. Problem solving skills. Organizational skills. Adaptability. Ability to work under pressure. Resourceful. Professionalism. Excellent communication skills. Reliability. Demonstrates initiative. Ability to build trust.

 

At Arbor Healthcare our success depends on not only the services we offer but on the individual talents of our team. All are charged with good humor, and all are committed to meeting the challenges of an exploding marketplace. We offer a progressive work environment where we value innovation, nurture creativity and reward success! We are committed to maintaining a dynamic and professional working environment that places the needs of our employees first.The cornerstone of our success is a culture that encourages career and personal development, employee empowerment, and the building of quality relationships among colleagues and clients. If you are looking to join a rapidly growing industry leader and enjoy a fast-paced, high-energy environment, explore opportunities with us.  In addition to competitive salary, we provide a full range of benefits including medical, dental, life, long term disability, paid time off (PTO) and 401k.