Payer Relations Manager

Job Summary:

The Payer Relations Manager is responsible for maintaining all contracted payers and improving collection rates.

Duties and Responsibilities:

• Direct liaison with the billing team to identify targets for Director involvement.
• Provides backup coverage when department Director is unavailable.
• Assist in client and payer-related administrative projects as needed, contributing to the efficiency of client success and negotiation processes.
• Maintain excellent written and verbal communication with internal and external stakeholders, ensuring clarity and transparency in all interactions.
• Responsible for any deliverables required by contract (e.g. FWB training, quarterly TAT reporting).
• Analyze large data sets; collaborate with the billing team to improve cash collections.
• Consistently demonstrate the capacity to manage and resolve urgent issues that arise.
• Maintain the Contract Checklist template.
• Maintain the CI Reimbursement file.
• Communicate the need to hold or release claims for recently contracted payers.
• Occasional travel might be required.
• Other duties as assigned.

Required Skills and Abilities:

• Understands and is able to speak/read medical terminology
• Strong understanding of the payer marketplace and reimbursement
• Excellent written and verbal communication skills
• Strong analytical and problem-solving skills
• Excellent interpersonal and customer service skills
• Excellent time management, organizational skills and attention to detail
• Proficient with Microsoft Office Suite or related software

Education and Experience:

• Bachelor’s degree or equivalent relevant work experience
• Minimum of 5 to 7 years of experience in working in the payer/provider healthcare setting

Work Environment & Physical Demands:

• This is a remote position.
• May require prolonged periods of sedentary work that requires sitting at a desk and working on a computer.
• Requires the ability to operate standard office equipment and keyboards.
• Light lifting (may be required to lift up to 20 pounds at times)

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

We are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status or any other status protected under federal, state or local law.

We participate in E-Verify.