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Healthcare Liaison Specialist
2 weeks ago
Hospital for Special Surgery is a leading healthcare provider with a commitment to delivering high-quality care and skilled, compassionate service. Our guiding principles are centered around creating a safe and healing environment for our patients and staff.
Job SummaryWe are seeking an exceptional Patient Services Liaison to join our team. In this role, you will be responsible for developing and managing processes and systems to ensure seamless communication between physician offices and insurance payors. You will work closely with physicians, medical staff, and other stakeholders to resolve payment issues and coordinate enrollment in managed care plans.
The ideal candidate will have outstanding interpersonal skills and previous experience in hospitality or concierge services. A bachelor's degree is required, and a master's degree is desirable.
Responsibilities- Assist with contracts: negotiate and manage physician managed care contracts, analytics, and financial modeling
- Coordinate enrollment: enroll physicians in managed care plans
- Ensure compliance: verify that managed care companies adhere to negotiated contracts
- Resolve payor issues: follow up on and resolve payment issues with insurance payors
- Act as liaison: serve as a point of contact between physician offices and insurance payors
- Schedule meetings: coordinate and document PHO-related meetings
- Maintain tracking logs: create and maintain logs for insurance payor issues and accountability
- Oversee PHO line: answer and respond to inquiries and assist with urgent physician office issues
- Maintain attendance and punctuality records
- Bachelor's degree
- Previous experience in hospitality or concierge services
- Outstanding interpersonal skills