Insurance Vendor Liaison

2 days ago


Morrisville, United States Affordable Care Full time
Job Title: Insurance Vendor Relations

At Affordable Care, we are seeking a highly skilled Insurance Vendor Relations professional to join our team. As a key member of our revenue cycle team, you will be responsible for coordinating and monitoring outsourced activities relevant to the revenue cycle for KPI performance.

Key Responsibilities:
  • Coordinate and monitor outsourced vendor activities to ensure quality, cost, and timeliness of service to our practices and corporate.
  • Provide weekly reports of progress on KPIs and issues to the manager and vendor.
  • Develop and implement strategies to continually exceed KPIs and drive efficiency.
  • Coordinate all internal department activities related to RCM activities, which will initially be outsourced.
  • Ability to create presentations to share strategy, metrics, and performance with management and vendor.
  • Interaction with Central Billing Office (RCM team) to handle next steps in AR resolution that are identified by status checks performed by outside vendor.
  • Audits and monitoring of outsourced services to ensure efficiency and adoption by the practices.
  • Responsibility for seeking regular feedback relevant to outsourced functions.
  • Monitor outsourced process flows and provide feedback to improve processes and results.
Requirements:
  • Associates degree required, bachelor's degree preferred.
  • Minimum five years commercial insurance or Medicaid experience preferred.
  • Experience in a medical or dental practice preferred.
  • Proficiency in Microsoft Office products, especially PowerPoint.
Core Competencies:
  • High level of customer service orientation.
  • Ability to assess development needs of affiliated auxiliary practice staff.
  • Knowledgeable in creating and presenting training course material.
  • Strong skills in interpersonal communication, analysis, critical thinking, attention to detail, multi-tasking, and oral & written communication.


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