Methodist Health System Jobs

Hours of Work :

8am to 5pm

Days Of Week :

M-F

Work Shift :

Job Description :

Your Job:

• The purpose of the Physician Services Representative is multifaceted; it requires excellent interpersonal and communication skills, knowledge of managed care/health plans, and an understanding of the health care industry in order to effectively educate, communicate, share information, and facilitate relationships between Dallas Methodist Physicians Network (DMPN) providers; Methodist Patient Centered ACO (MPCACO) providers; and Methodist Health System facility staff. The role intercedes in the resolution of claims issues, administrative issues, and contractual requirements.

Your Job Requirements:

• Bachelor's degree required

• Must demonstrate the ability to work independently, organize/set priorities, and complete work in a timely manner despite deadlines and competing requirements.

• Must demonstrate the ability to respond to the expressed needs and concerns of physicians and office staffs, as well as initiate actions and proactively anticipate next steps.

• Must have well-developed communication skills, both oral and written, to enable strong interpersonal interactions with physicians and office staffs.

• Must demonstrate understanding of medical claims billing and coding practices.

• Ability to follow a project from initiation through completion within a specified timeline.

• Must be detail oriented.

• Working knowledge of hierarchical conditional categories (HCC).

• Working knowledge of Microsoft products: Outlook, Word, Excel, and PowerPoint.

• Work Experience: 5 years' experience in managed care is required. Marketing, journalism and project coordination experience is a plus.

Your Job Responsibilities:

• Orients and assists providers and office staff by providing education on health plan contracts, fee schedules, claims processes, and regulatory requirements.

• Serves as liaison between MHS physicians/office staffs and DMPN: (a) Obtains feedback from physician offices on health plans and health system issues; (b) Identifies needs and opportunities for improvement; (c) Provides quick response and follow-up to physicians' concerns, problems and questions; (d) Attends staff meetings and gather information to be used for communications to physicians and office staff during visits.

• Establishes, cultivates and maintains positive relationships between DMPN, the MPCACO, MHS and physicians/office staffs through: (a) Visiting and communicating with practices routinely to re-enforce communication among physicians and with health plans and the ACO, (b) Documenting contacts with physicians and staff through weekly summaries and monthly written reports, (c) Facilitating collaborative relationships with health plan representatives (d) Writing a monthly physician newsletter (e) Conducting educational webinars with physicians and their office staff, (f) Working with physicians on the development of medical neighborhood and assisting in communication flow, (g) Facilitating communication between system hospitals and post-acute care providers, (h) Educating physicians on HCCs and quality metrics, and (i) Attending physician events and meetings to help maintain visibility with physicians.

• Coordinates joint operating committee meetings with health plan representatives.

• Visits with all physicians at least annually.

• Develops and maintains health plan contacts and contract grids/databases/spreadsheets.

• Maintains DMPN's and MPCACO Pulse sites with current information.

• Assists President as needed to support goals including business development, growth, quality and physician satisfaction.

• Projects a positive image of MHS to internal colleagues, external customers and the community.

• Performs a variety of special projects and other related duties.

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned:

• Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers

• 150 Top Places to Work in Healthcare by Becker’s Hospital Review , 2023

• Top 10 Military Friendly® Employer, Gold Designation, 2023

• Top 10 Military Spouse Friendly® Employer, 2023

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned:

• Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers

• 150 Top Places to Work in Healthcare by Becker’s Hospital Review , 2023

• Top 10 Military Friendly® Employer, Gold Designation, 2023

• Top 10 Military Spouse Friendly® Employer, 2023

Equal Opportunity Employer

It is the policy of Methodist Health System (MHS) to select, develop, and promote employees based on individual ability and job performance. It has been, and will continue to be, the policy of MHS to provide equal employment opportunity to all people in all aspects of employer-employee relations without discrimination because of race, color, religion, national origin, age, sex, sexual orientation, gender expression, disability, marital status, genetic information or ancestry. This policy affects decisions including, but not limited to, an employee’s compensation, benefits, terms and conditions of employment, opportunities for promotion, training, development, transfer all other privileges of employment. MHS is committed to maintain a working environment free of intimidation, workplace discrimination and harassment. Retaliation or attempted retaliatory behavior that occurs as a result of an employee’s exercise of their rights under this policy or any other statutorily protected right is strictly prohibited and will be grounds for disciplinary action.