Director of Payer Escalations

A company is looking for a Director of Payer Escalations to drive client value through payer escalations of hospital underpayments. Key Responsibilities Design and implement a new provider escalations strategy for the Hospital Underpayments Team Analyze data inflows across clients to prepare inventory for escalation and create relevant protocols Communicate with insurance payers to resolve underpayment issues and maintain detailed records of escalated cases Required Qualifications Leadership experience in healthcare revenue cycle management Deep understanding of revenue cycle operations and insurance payer policies Proficiency in Microsoft Excel and Power BI for data analysis Ability to work independently and manage multiple priorities Experience in negotiating and communicating effectively with internal teams and executives

Feb 18, 2025 - 23:58

A company is looking for a Director of Payer Escalations to drive client value through payer escalations of hospital underpayments. Key Responsibilities Design and implement a new provider escalations strategy for the Hospital Underpayments Team Analyze data inflows across clients to prepare inventory for escalation and create relevant protocols Communicate with insurance payers to resolve underpayment issues and maintain detailed records of escalated cases Required Qualifications Leadership experience in healthcare revenue cycle management Deep understanding of revenue cycle operations and insurance payer policies Proficiency in Microsoft Excel and Power BI for data analysis Ability to work independently and manage multiple priorities Experience in negotiating and communicating effectively with internal teams and executives