Revenue Cycle Payer Relations Specialist

1 week ago


Coral Gables, Florida, United States InsideHigherEd Full time
Job Summary

We are seeking a highly skilled Revenue Cycle Payer Relations Analyst to join our team at InsideHigherEd. The successful candidate will be responsible for analyzing and improving revenue cycle processes, developing and maintaining relationships with payers, and providing expert guidance on payer policies and reimbursement.

Key Responsibilities
  • Revenue Cycle Analysis: Conduct in-depth analysis of revenue cycle trends, managed care contract compliance, and contract and payer yield to identify opportunities for revenue growth and operational improvements.
  • Payer Relations: Develop and maintain strong relationships with payers to ensure timely and accurate reimbursement, resolve issues, and negotiate contracts.
  • Data Analysis: Provide complex data analysis and insights to inform revenue cycle strategies and optimize reimbursement.
  • Process Improvement: Identify and implement process improvements to enhance revenue cycle efficiency and effectiveness.
  • Collaboration: Work closely with internal stakeholders to resolve revenue cycle issues and ensure seamless communication with payers.
  • Reporting and Analytics: Develop and maintain reports and analytics to track revenue cycle performance and identify areas for improvement.
Requirements
  • Education: Associate degree in a relevant field.
  • Experience: Minimum 5 years of experience in revenue cycle or a related field.
  • Certifications: HFMA CRCR certification required.
  • Skills: Strong analytical and problem-solving skills, excellent communication and interpersonal skills, ability to work independently and collaboratively.
What We Offer

We offer a competitive salary and a comprehensive benefits package, including medical, dental, and tuition remission. Our team is dedicated to providing exceptional patient care and service, and we are committed to fostering a culture of excellence and innovation.



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