Payer Relations Manager

Job is Expired
Location: Remote
Compensation: Salary
Reviewed: Tue, Apr 15, 2025
Payer Relations Payer Contracting Billing Processes Healthcare Regulations

Job Summary

A company is looking for a Payer Relations Manager to manage and optimize relationships with health plans for efficient revenue cycle operations.

Key Responsibilities
  • Serve as the primary contact for payer representatives to resolve enrollment, underpayment, and billing issues
  • Monitor ongoing payer issues and collaborate with internal teams to implement corrective actions
  • Provide updates on national payer trends and prepare reports on payer performance and compliance
Required Qualifications
  • Bachelor's degree in healthcare administration, business, or related field (Master's preferred)
  • Strong experience in payer relations and revenue cycle management
  • Understanding of payer contracting, billing processes, and healthcare regulations
  • Proven ability to build relationships with external stakeholders, including health plans
  • Advanced Microsoft Excel skills strongly preferred
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