Financial Healthcare Negotiator

The Financial Healthcare Negotiator will be the main point of contact for provider calls related to the pricing and negotiation of medical procedures for all members enrolled in the Apta Cash program. . The Financial Healthcare Negotiator team members will respond to and follow-up, as appropriate, on all facility, provider and anesthesia service requests via email, phone calls, chat messages and text messages. The primary goal is to provide a ?white glove? experience for all members from start to finish, this includes rapid success of all negotiating tasks to ensure the members can proceed with scheduled services. The Financial Healthcare Negotiator will be vital in documenting all interactions immediately and working tirelessly to provide a successful outcome for the members.
ESSENTIAL FUNCTIONS
?Field questions from clients regarding plan options and coverage.
? Monitoring all active inbox and emails for assigned groups.
? Acting as the main point of contact for all pricing-related inquiries.
? Manage all tasks assigned and scheduled daily.
? Adhere to all schedules for provider contact based on company policy.
? Stay logged in and available during scheduled hours for phone coverage.
? Manage all text alerts assigned during the scheduled hours.
? Work to exceed all set performance metrics to ensure a positive member experience.
? Participate with the leadership team to help identify the best practices and training opportunities.
? Stay current with all training, policies and regulations.
? Stay current with all existing and future client and plan details.
? Actively engage facility, professional provider and anesthesia services related to member healthcare needs.
? Obtain self-pay pricing for all related services that members are scheduled for and negotiate as needed to ensure the best possible financial outcome for all groups and members.
? Other duties as assigned.
REQUIRED QUALIFICATIONS
? 3+ Years experience in healthcare (CNA, MA, TPA).
? Demonstrate an understanding of medical terminology, coding and pricing procedures for medical services or claims.
? Experience successfully navigating numerous systems at the same time.
? Service-excellence mindset with member focus as a primary motivating factor.
?Demonstrated ability to meet/exceed client expectations and provide clients with a positive experience at all times.
?Excellent interpersonal and customer service skills with the ability to communicate verbally and in writing.
?Ability to maintain confidentiality and exercise discretion regarding confidential and sensitive information.
?Familiarity with technology that supports presentations, online meetings, and video/web conferencing.
?Must demonstrate a sense of urgency and the ability to work in a fast-paced environment.
?Demonstrated knowledge of self-funded health insurance industry, including reinsurance and fiduciary liability.
WORK ENVIRONMENT
This job operates in a professional office setting performing predominantly sedentary work. This role routinely uses standard office equipment such as computers, including computer keyboards and mice; telephones; photocopiers; scanners; filing cabinets.
While performing the duties of this job, the employee is regularly required to talk, see and hear. The employee is frequently required to sit; will occasionally stand and/or walk; use hands and fingers to grasp, pick, pinch, type; and reach with hands and arms. Employee is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; operation of standard office machines and equipment.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
EQUAL EMPLOYMENT/ANTI-DISCRIMINATION
Novo Professional Services is an equal opportunity employer and does not discriminate on the basis of Race, Color, Religion, Creed, National Origin, Ancestry, Sex, Pregnancy, Age, Sexual Orientation (including transgender status), Physical or Mental Disability, Marriage to a Co-Worker, or for anyone engaging in Protected Activity (opposing a discriminatory practice or participating in an employment discrimination proceeding). Additionally, this employer does not tolerate any employees engaging in discriminatory behavior based on any of the aforementioned protected classes.
PRE-EMPLOYMENT REQUIREMENTS
All offers of employment by this employer are conditional upon the incumbent?s successful completion of pre-employment screenings, including a criminal background check, drug screen, professional reference checks, and verification of the incumbent?s eligibility to work in the United States.
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