Dan Cain

Contracting hospital, physician and ancillary providers for Kan Care network build and maintenance

Real Estate investment in commercial and residential properties.

• Negotiate inpatient and outpatient rates and contract language for large hospital network development builds for Kansas and western Missouri Medicare and Medicaid Managed Care Plans • Review contract language changes and redline responses to clients and deliver within projected revenue targets, guidelines, compliance and timetable/deadline • Target, develop, negotiate and maintain professional contractual relationships with regional and critical access hospitals, PHO’s and large physician groups.

• Call on physicians and ancillary providers to contract and credential providers for Kansas and Missouri managed care networks • Negotiate rates and contract fees for physicians and ancillary providers within Kansas and Missouri territory • Coordinate appropriate documentation and per processing of enrollment packets and credentialing applications • Continuous provider education and review of contract terms, fee schedules and reimbursement rates and policy • Perform clinic site visits and drop by cold call visits. Three to four days per week of outside client contact throughout territory • Represent HealthCare USA at seminars and health care associations and tradeshow venues throughout the Kansas and Missouri region • Track and maintain contracting and professional services contact cycle through customer relationship management database

• Manage electronic billing software system and physician business office A/R support solutions team • Client development and sales of integrated networks to meet the financial, compliance and efficiency demands of the HIPAA compliant physician practice • Coordinate and manage data conversions from previous software vendors to new software platform • Manage continuous configuration, support, training, security and storage of network database for our medical clients throughout Kansas and Missouri territory • Lead development, cold calling and sales closure through client partnerships with professional medical associations and comparative vendors

• Provider contracting, enrollment and retention for hospitals, physicians, multi-specialty, pharmacies and ancillary services. Provide follow up and review of contract terms and reimbursement • Facilitate communications between Kansas Medicaid providers and Social and Rehabilitative Services (SRS) on medical policies procedures and guidelines • Developed and presented educational compliance and statutory guidelines information to medical providers in order to facilitate accurate reporting and claims processing • Presented medical policies and insurance guidelines to a broad range of traditional and non-traditional healthcare providers through large group presentation/workshops on a monthly basis • Provide ongoing office visits with provider clients three to four days per week throughout Kansas and Missouri territory to identify billing and or guidelines discrepancies and ensure resolution and client satisfaction