Communication and Personality in Negotiation
- Submitted by: cawhiting663
- Views: 547
- Category: Other
- Date Submitted: 09/29/2011 05:36 PM
- Pages: 5
- Report this Essay
Communication and Personality in Negotiation
A negotiation is a method involving two groups in talks to find an amicable resolution around a difficult issue. The negotiation I took place in happened to resolve an ongoing problem with an insurance company. The insurance company failed to reimburse the organization for dialysis services rendered to patients according to the rates specified in the insurances federal benefits summary plan description for facilities considered an out-of-network provider. This dissertation will evaluate the roles of communication and personality in negotiation and how they contributed to or detracted from the negotiation.
When communicating with others it is important to identify each side participating in the negotiation process has a personality. Acknowledging the differences in individual personalities and the ability to determine the appropriate personality to use during the negotiation process to achieve the best outcome for everyone is important. When dealing with individuals on an ongoing basis it is helpful because one has an opportunity to become familiar with their opponent enough to know the type of personality he or she is dealing.
The dialysis company rendered dialysis services to a number of patients’ and billed his and her insurance carrier only to receive payments based on a contracted rate, which was agreed upon by both parties for the PPO, Indemnity, and POS products instead of at 65% of full billed charges. As a representative of the organizations billing department the appropriate number of appeals were sent to the insurance company only to receive the same response stating the claims were processed correctly and no additional payment would be issued. It was later brought to the organizations attention that several patients’ accounts were underpaid and appealed with no additional payments issued to the sum of approximately $500K.
The organization typically uses negotiations to come to an agreement on...
A negotiation is a method involving two groups in talks to find an amicable resolution around a difficult issue. The negotiation I took place in happened to resolve an ongoing problem with an insurance company. The insurance company failed to reimburse the organization for dialysis services rendered to patients according to the rates specified in the insurances federal benefits summary plan description for facilities considered an out-of-network provider. This dissertation will evaluate the roles of communication and personality in negotiation and how they contributed to or detracted from the negotiation.
When communicating with others it is important to identify each side participating in the negotiation process has a personality. Acknowledging the differences in individual personalities and the ability to determine the appropriate personality to use during the negotiation process to achieve the best outcome for everyone is important. When dealing with individuals on an ongoing basis it is helpful because one has an opportunity to become familiar with their opponent enough to know the type of personality he or she is dealing.
The dialysis company rendered dialysis services to a number of patients’ and billed his and her insurance carrier only to receive payments based on a contracted rate, which was agreed upon by both parties for the PPO, Indemnity, and POS products instead of at 65% of full billed charges. As a representative of the organizations billing department the appropriate number of appeals were sent to the insurance company only to receive the same response stating the claims were processed correctly and no additional payment would be issued. It was later brought to the organizations attention that several patients’ accounts were underpaid and appealed with no additional payments issued to the sum of approximately $500K.
The organization typically uses negotiations to come to an agreement on...