Job Summary:
The Payer Relations Manager is responsible for maintaining all contracted payers and improving collection rates…
Duties and Responsibilities:
? Direct liaison with the billing team to identify targets for Director involvement.
? Provides backup coverage when department Director is unavailable.
? Assist in client and payer-related administrative projects as needed, contributing to the efficiency of client success and negotiation processes.
? Maintain excellent written and verbal communication with internal and external stakeholders, ensuring clarity and transparency in all interactions.
? Responsible for any deliverables required by contract (e.g. FWB training, quarterly TAT reporting).
? Analyze large data sets; collaborate with the billing team to improve cash collections.
? Consistently demonstrate the capacity to manage and resolve urgent issues that arise.
? Maintain the Contract Checklist template.
? Maintain the CI Reimbursement file.
? Communicate the need to hold or release claims for recently contracted payers.
? Occasional travel might be required.
? Other duties as assigned.
Required Skills and Abilities:
? Understands and is able to speak/read medical terminology
? Strong understanding of the payer marketplace and reimbursement
? Excellent written and verbal communication skills
? Strong analytical and problem-solving skills
? Excellent interpersonal and customer service skills
? Excellent time management, organizational skills and attention to detail
? Proficient with Microsoft Office Suite or related software
Education and Experience:
? Bachelor?s degree or equivalent relevant work experience
? Minimum of 5 to 7 years of experience in working in the payer/provider healthcare setting
Work Environment & Physical Demands:
? This is a remote position.
? May require prolonged periods of sedentary work that requires sitting at a desk and working on a computer.
? Requires the ability to operate standard office equipment and keyboards.
? Light lifting (may be required to lift up to 20 pounds at timesihire.all
Payer Relations Manager
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