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Payer Relations Manager
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
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