VP, Provider Network & Medical Operations

Get Linked up LLC

Chamblee (GA)

Hybrid

USD 140,000 - 190,000

Full time

3 days ago
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Job summary

Case Portal is seeking a senior, hands-on leader to own the medical side of the business. You’ll build and grow our Georgia provider network, acting as the main contact for practice owners and administrators, and set the standard for medical documentation and compliance across the network.

You will lead a team of provider success, records, billing, and credentialing professionals, shaping contracts, credentialing, and day-to-day provider relations while partnering with product to ensure the

Qualifications

  • 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.
  • 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 isn’t allowed in provider relationships.

Responsibilities

  • Recruit and onboard Georgia providers across orthopedics, pain management, imaging, chiropractic, neurology, surgery centers and physical therapy.
  • Own provider relationships end to end: contracts, credentialing, BAAs and day-to-day issues.
  • Build and lead a team of provider success reps, 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 our product team so the platform fits how provider offices actually work.
  • Keep all provider relationships compliant with anti‑kickback and referral rules, HIPAA and Georgia lien law.

Skills

Medical industry experience
Leadership
Provider relations
Compliance judgment

Tools

Billing systems

Job description

About Case Portal

Case Portal is a provider network and technology platform for personal injury care. We connect credentialed medical providers with personal injury cases and handle onboarding, documentation and lien administration, so providers can focus on treating patients.

The Role

We’re looking for a leader to own the medical side of our business. You’ll build and grow our Georgia provider network and be the main point of contact for practice owners and administrators. You’ll set the standard for PI medical documentation and build the team that supports our providers every day. This is a senior, hands‑on role with direct impact on how our platform grows.

What You’ll Do
  • Recruit and onboard Georgia providers across orthopedics, pain management, imaging, chiropractic, neurology, surgery centers and physical therapy
  • Own provider relationships end to end: contracts, credentialing, BAAs and day-to-day issues
  • Build and lead a team of provider success reps, 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 our product team so the platform fits how provider offices actually work
  • Keep all provider relationships compliant with anti‑kickback and referral rules, HIPAA and Georgia lien law
What You Bring
  • 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+ 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 isn’t allowed in provider relationships
Nice to Have
  • 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
Location

Hybrid, metro Atlanta. Candidates must be based in Georgia. We’ll consider candidates outside Georgia only if they bring an existing Georgia provider network.

Our Process

A short intro call, a conversation with the Case Portal team, a 90‑minute practical work sample, and a final interview with our president. References are required.

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