Payer Relations Manager

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 times

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