Contracting and Payor Relations Specialist
Lynn Community Health Center•Lynn, MA
8d
About The Position
The primary purpose of this job is to manage payor relations between Lynn Community Health, Inc and insurance companies. This individual will review contracts, conduct analysis, negotiation, implementation, payer relations, and payor credentialing for the health center.
Requirements
- Minimum Education: HS Diploma or equivalent Required
- 10+ years of experience.
- Previous experience in health care business office, contracting or payer organization Required
Responsibilities
- Identifies, analyzes, and manages payor projects, as assigned, such as auditing contract provisions, completing credentialing requests, interdepartmental work groups, negotiations and maintenance of payor contracts and legal files.
- Understands legal terms and concepts related to contracting; Must be able to research state and federal laws and statute and interpret their meaning and use in Managed Care contracts.
- Negotiates Single Case Agreements with Payers as may be required.
- Own the credentialing process for each payor and submit all relevant information timely.
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What This Job Offers
Education Level
High school or GED
