Payer Relations Coordinator

　　Job LocationsUS

　　Overview

　　HearingLife is a part of the Demant Group, a world-leading hearing healthcare group that offers solutions and services to help people with hearing loss connect with the world around them. With over 600 locations across the United States - HearingLife's vision is to make a life-changing difference for people with hearing loss. Our innovative technologies and know-how help improve people's health and hearing. We create life-changing differences through hearing health. This work is done in a manner consistent with the HearingLife Core values:

　　- We create trust

　　- We are team players

　　- We create innovative solutions

　　- We have a can-do attitudePurpose Statement:

　　The Payer Relations Coordinator purpose is to help more people hear better by providing exemplary research, documentation management and other administrative survives that support HearingLife payer relations department.Position Summary:The Payer Relations (PR) Coordinator position supports Payer Relations department by performing administrative functions related to payer and reimbursement management, and management of workflows and partnerships. Role will be responsible for tracking and reporting internal and external requests, cataloging contracts, obtaining fee schedules, responding to payer audits, supporting PR managers, and performing payer policy research. The PR Coordinator will promote a culture of collaboration and customer-focused service delivery with all HearingLife functional areas to maximize revenue and identify operational and systems optimization opportunities within scope of Payer Relations.

　　Responsibilities Essential Job Functions:

　　* Conducts research on all new perspective payers and documents the requirements before any margin analysis can be conducted. Tracks all efforts and status of each opportunity.

　　* Ensures timely entry of new contracts, contract terms, fee schedules and payer policies into contract management database.

　　* Manages Payer Relations inbox and Remedy ticketing system by reviewing field and payer requests/updates and assigning as needed to appropriate Payer Relations team members. Collaborates with PR Managers and PR Director on research and appropriate responses to field inquiries.

　　* Research payer websites and payer policy guidelines to identify requirements needed to support patient care and the revenue cycle. Updates payer terms and requirements in the contract management system.

　　* Monitors and documents interactions with payers and partners within the contract management system. Summarizes correspondence as needed for contract negotiations and payer meetings.

　　* Assists with obtaining and maintaining fee schedules for existing contracts. Ensures all updates are communicated cross departmental partners and are cataloged in Payer Relations database.

　　* Supports payer audit requests by creating a documentation request template, gathering requested documentation, and tracks audit status until resolution.

　　* Assists with development and implementation of Payer Relations processes and systems.

　　* Operates in compliance with all local, state, and Federal laws as well as HearingLife policy and compliance standards.

　　* Maintains knowledge of current HearingLife systems (AX, DM, POS, etc).

　　* Job description is not intended to include an inclusive list of responsibilities. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.

　　QualificationsSkills and Abilities

　　* 3+ years of Healthcare Knowledge of revenue cycle functions, reimbursement, billing terminology, and best practices.

　　* Knowledge of CPT, HCPCS and revenue codes and their effect on reimbursement.

　　* Ability to solve complex problems and adapt to process variances in situations where limited standardization exists.

　　* Ability to communicate effectively both verbally and in writing.

　　* Advanced with MS Excel, specifically with creating Pivot Tables to analyze data and produce report.

　　* Ability to research and identify key information related to Payer Relations, reimbursement and payer changes.

　　* Audit data for accuracy and integrity, along with demonstrating exceptional attention to detail.

　　* Work with persons at all levels of the organization and interact with members of multiple departments successfully.

　　* Work with minimal supervision to accomplish and carry out goals/objectives on time.

　　* Ability to multitask & effectively handle multiple projects simultaneously in a deadline driven environment.

　　* Strong organizational skills.Education and Experience:

　　* Bachelor's degree in a healthcare, business, finance, or a related field. May consider qualified candidates in lieu of a bachelor's degree with 4+ years of revenue cycle experience in billing, accounts receivables or credentialing.

　　* 3-5 years-experience as a managed care, payer relations, or revenue cycle roles.

　　* Advanced Microsoft Office skills - Excel, Power Point, Word, Teams, Smartsheets.

　　* Knowledge of Dynamics AX is preferred.

　　* Knowledge of ICD, CPT, and HCPCS coding systems as it relates to payer contracting, fee schedules, and patient financials.

　　* High attention to detail with ability to analyze and summarize data.

　　* Certified CRCR or CSPR is a preferred.

　　Some of our Benefits:- Unwind with Paid Time Off: We value work-life balance. Enjoy company-paid holidays, floating holidays, and more!

　　- Flexible Work Dynamics: Experience the future of work with numerous hybrid and remote opportunities tailored for the modern professional.

　　- Comprehensive Health Benefits: Choose from a diverse range of health insurance plans covering medical, dental, vision, and HSA. Your well-being is our priority.

　　- Invest in Your Future: With our competitive 401(k) Program, your future looks bright.

　　- Exclusive Discounts & Programs: Get special discounts on our products, including hearing aids, for both family and possibly friends. Plus, take advantage of our Employee and Family Purchase Hearing Aid program.

　　- Boundless Growth Opportunities:

　　- DMIT Program: Dive deep into management insights.

　　- Apprentice Program: Learn from the best in the field.

　　- Amplify Leadership Program: Get one-on-one guidance and real-world exposure to grow and excel as a Leader.

　　- A Thriving, Positive Environment: We live our Core Values: We Create Trust, We are Team Players, We Apply a Can-Do Attitude and We Create Innovative S

　　- Empower Your Ambitions: Avail up to $5250 annually with our Education Expense Reimbursement. Keep learning, keep growing!

　　- Refer & Earn: Know someone perfect for the team? Our Team Member Referral Program rewards you with up to $3500 per hire, depending on the role.

　　- Protection for the Unexpected: Enjoy peace of mind with our basic life and AD&D insurance, as well as short-term disability insurance.Come be part of a team where every day brings new challenges, learning, and the opportunity to make a difference. Join us!

　　We are an Equal Opportunity / Affirmative Action employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, sex, national origin, disability, or protected veteran status.#hearinglife_US

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