Payor Relations Coordinator
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Job Description
Payor Relations Coordinator responsible for financial analysis and maintenance of managed care contracts. Collaborating with various internal departments to resolve issues and optimize reimbursement.
Responsibilities:
- Assists in the development and maintenance of financial information related to volume, financial performance, and profitability for each managed care contract.
- Prepares preliminary interpretations of analysis for project teams, departments and/or management.
- Assists in developing reimbursement strategies and policies and procedures related to contract negotiations.
- Obtains and maintains current information and knowledge of the managed care environment, including but not limited to local, state and national developments; and develops and maintains relationships with appropriate agencies.
- Assists in contract negotiations.
- Ensures that changes in managed care processes are communicated to and followed by FMOLHS and affiliated entity employees in a manner that ensures high quality patient care.
- Strives to promote the quality and efficiency of his/her own performance by remaining current with the latest trends in field of expertise through participation in job-relevant seminars and workshops.
- Works collaboratively with internal departments (i.e., Financial Operations, Revenue Management, Business Office, etc.) to ensure reimbursement is optimized and to resolve identified issues.
- Assists in the resolution of identified operational issues with contracted payers. This includes resolution of reimbursement, operational and clinical issues.
- Works with affiliated entities in the development and maintenance of managed care contracts and strategies.
Requirements:
- 3 years professional level hospital or managed care experience
- Bachelor's Degree
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