David Parcell Email & Phone Number

David Parcell is a Manager, Network Management at Gateway Mental Health, Integrated Healthcare Services at Gateway Mental Health, Integrated Healthcare Services.

• Manager, Network Management

  Gateway Mental Health, Integrated Healthcare Services

  May 2014 - Present - 133 Brewery Park Blvd., Suite 100, Detroit, 48207

  Manager of Network Management , 05/2014 to PresentGateway Community Health – Detroit, MIThis position works in concert with the Director of Senior Administration to negated contracts,oversee claims processing and concerns, and to cultivate and and maintain provider relationshipsthroughOversees contract development, revisions, amendments, etc.Communicates with prospective and current providers regarding contractual and claims relatedissuesPrepares Fee Schedule analysis for internal financial and utilization management decisions andcontract negotiations.Acts as the liaison between Gateway Community Health and Detroit-Wayne Mental HealthAgency (DWMHA), PCE and other vendors for any provider network management relatedissues.Oversees the claims department, managing the claim processes.Leads activities and resolution of any disputed between Gateway and its Provider Network.Network Manager negotiates with prospective providers regarding new contracts, current providersregarding any desired or required language or fee schedule change, when staff are unable toresolve. Oversees and monitors the loading of provider contract information into the computerizedmanaged care system. Claims are monitored by the Network Manager and works with qualityDivision to assure claims are reported according to requirements.