Payer Relations Manager

Job is Expired
Location: Remote
Compensation: Salary
Reviewed: Thu, Apr 10, 2025
Enrollment Underpayments Billing Performance Metrics

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 and provide 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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