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Payer Relations Manager
Job Summary
A company is looking for a Payer Relations Manager to manage and optimize relationships with health plans for effective revenue cycle operations.
Key Responsibilities
- Serve as the primary contact for payer representatives to resolve issues related to enrollment, underpayments, and billing challenges
- Monitor ongoing payer issues and collaborate with internal teams to analyze root causes and implement corrective actions
- Track and report on payer performance metrics while providing actionable insights to leadership based on data analysis
Required Qualifications
- Bachelor's degree in healthcare administration, business, or a related field (Master's degree preferred)
- 5+ years of experience in payer relations, revenue cycle management, or healthcare operations
- Strong understanding of payer contracting, billing processes, and healthcare regulations
- Proven ability to build and maintain relationships with external stakeholders, including health plans
- Advanced Microsoft Excel skills strongly preferred
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COMPLETE JOB DESCRIPTION
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