VP, Provider Network & Medical Operations
About The Position
Case Portal is a provider network and technology platform for personal injury care. It connects credentialed medical providers with personal injury cases and handles onboarding, documentation, and lien administration so providers can focus on treating patients. The VP, Provider Network & Medical Operations will lead the medical side of the business, build and grow the Georgia provider network, and serve as the primary contact for practice owners and administrators. The role sets standards for personal injury medical documentation and builds the team that supports providers. It is described as a senior, hands-on role with direct impact on platform growth. The position is hybrid in metro Atlanta, and candidates must be based in Georgia unless they bring an existing Georgia provider network.
Requirements
- At least 7 years of experience on the medical side of personal injury.
- Hands-on knowledge of LOPs, medical liens, lien reductions, CPT/ICD-10 coding, and HCFA-1500 and UB-04 billing forms.
- A track record of working directly with provider owners and practice administrators.
- People leadership experience; 3 or more direct reports preferred.
- Experience onboarding providers into a network, program, or software platform.
- An established network of Georgia providers.
- Strong compliance judgment and a firm understanding of what is and is not allowed in provider relationships.
- Must be based in Georgia, unless bringing an existing Georgia provider network.
- References are required.
Nice To Haves
- RN, LPN, or Legal Nurse Consultant background.
- Credentialing experience.
- Experience at a medical lien funding company or PI-focused provider group.
- Experience rolling out software to provider offices.
Responsibilities
- Recruit and onboard Georgia providers across orthopedics, pain management, imaging, chiropractic, neurology, surgery centers, and physical therapy.
- Own provider relationships end to end, including contracts, credentialing, BAAs, and day-to-day issues.
- Build and lead a team of provider success representatives, records and billing coordinators, and a credentialing specialist.
- Set standards for medical records, itemized bills, narratives, causation letters, and records and billing affidavits.
- Partner with the product team to ensure the platform fits how provider offices work.
- Keep provider relationships compliant with anti-kickback and referral rules, HIPAA, and Georgia lien law.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
