Payor Relations Coordinator - REMOTE

FMOL Health System

Baton Rouge Louisiana

United States

Customer Service / Call Center
(No Timezone Provided)

FMOL Health SystemBaton Rouge, LAProfessionalFull-Time , Days, 8-5

The Payor Relations Coordinator is responsible for assisting in the financial analysis, development, and maintenance of managed care contracts. Ensures that payors reimburse OLOLRMC and affiliated entities correctly. Acts as a liaison between the Business Office, Medical Management, Revenue Management and other internal departments to resolve identified issues

*This is a remote position

Preferred Skills
Ideally applicants will have Epic experience with hospital and professional billing reimbursement contracts

Job Duties

  • Assists in the development and maintenance of financial information related to volume, financial performance, and profitability for each managed care contract
  • Prepares preliminary interpretations of analysis for project teams, departments and/or management
  • Assists in developing reimbursement strategies and policies and procedures related to contract negotiations
  • Obtains and maintains current information and knowledge of the managed care environment, including but not limited to local, state and national developments; and develops and maintains relationships with appropriate agencies
  • Assists in contract negotiations
  • Ensures that changes in managed care processes are communicated to and followed by OLOLRMC and affiliated entity employees in a manner that ensures high quality patient care
  • Strives to promote the quality and efficiency of his/her own performance by remaining current with the latest trends in field of expertise through participation in job-relevant seminars and workshops.
  • Minimum Requirements & Education

    3 years professional level hospital or managed care experience

    Bachelor's Degree

    #cb

    epic

    Payor Relations Coordinator - REMOTE

    FMOL Health System

    Baton Rouge Louisiana

    United States

    Customer Service / Call Center

    (No Timezone Provided)

    FMOL Health SystemBaton Rouge, LAProfessionalFull-Time , Days, 8-5

    The Payor Relations Coordinator is responsible for assisting in the financial analysis, development, and maintenance of managed care contracts. Ensures that payors reimburse OLOLRMC and affiliated entities correctly. Acts as a liaison between the Business Office, Medical Management, Revenue Management and other internal departments to resolve identified issues

    *This is a remote position

    Preferred Skills
    Ideally applicants will have Epic experience with hospital and professional billing reimbursement contracts

    Job Duties

  • Assists in the development and maintenance of financial information related to volume, financial performance, and profitability for each managed care contract
  • Prepares preliminary interpretations of analysis for project teams, departments and/or management
  • Assists in developing reimbursement strategies and policies and procedures related to contract negotiations
  • Obtains and maintains current information and knowledge of the managed care environment, including but not limited to local, state and national developments; and develops and maintains relationships with appropriate agencies
  • Assists in contract negotiations
  • Ensures that changes in managed care processes are communicated to and followed by OLOLRMC and affiliated entity employees in a manner that ensures high quality patient care
  • Strives to promote the quality and efficiency of his/her own performance by remaining current with the latest trends in field of expertise through participation in job-relevant seminars and workshops.
  • Minimum Requirements & Education

    3 years professional level hospital or managed care experience

    Bachelor's Degree

    #cb

    epic