Payer Liaison Specialist

Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

Location

680 Lake Shore Drive

Job Description

Essential Job Functions:

• Act as the primary liaison between Patient Financial Services (PFS) and payer organizations, representing Lurie Children’s in business-to-business interactions.
• Serve as the main contact point for provider representatives from each payer, ensuring seamless internal communication.
• Organize and facilitate regular payer meetings, managing agendas, tracking action items, and ensuring timely follow-ups.
• Conduct the root cause analysis on underpayments, overpayments, denials, and workflow deficiencies impacting reimbursement.
• Analyze hospital accounts receivable data to identify trends and make actionable recommendations for improving claim outcomes and reducing denials.
• Track and manage claim disputes by submitting and organizing spreadsheets and maintaining an organized system for dispute submissions.
• Collaborate with the PFS team to compile, update, and share discussion lists, project statuses, and open accounts receivable (AR) information with provider representatives before meetings.
• Support the Denials Task Force by providing data, tracking payer efforts, and assisting the Denials Manager in identifying high-priority claims for follow-up.
• Utilize tools like OneNote and tracking spreadsheets to monitor progress on claims disputes and payer system issues.
• Develop and present payer trend reports for both internal and external stakeholders, providing insights into common issues and progress updates.
• Create and update month-end and annual reports, ensuring compliance and tracking of reimbursement changes.
• Monitor and communicate updates on payer notices, changes, and reimbursement adjustments to relevant teams.
• Coordinate and deliver payer-related training sessions information and resources for the revenue cycle to improve knowledge and efficiency.
• Uphold the organization’s commitment to service excellence by adhering to service principles, fostering innovation, teamwork, and delivering high-quality care and support to patients, families, and colleagues.
  
  

Knowledge, Skills and Abilities:

• Education: Bachelor’s degree required.
• Years of Relevant Experience: Minimum of five years in healthcare administration, including at least three years in revenue cycle required.
• Computer Skills: Epic, Project management preferred, Microsoft Office and Excel-intermediate level or above, required.
• Other Skills: Excellent organizational, planning, and project management skills with a strong attention to detail preferred.
  
  

Education

Pay Range

$54,600.00-$89,273.60 Salary

At Lurie Children’s, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position . Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children’s offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs. For more details on other compensation, consult your recruiter or click the following link to learn more about our benefits.

Benefit Statement

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:

Medical, dental and vision insurance

Employer paid group term life and disability

Employer contribution toward Health Savings Account

Flexible Spending Accounts

Paid Time Off (PTO), Paid Holidays and Paid Parental Leave

403(b) with a 5% employer match

Various voluntary benefits:

• Supplemental Life, AD&D and Disability
• Critical Illness, Accident and Hospital Indemnity coverage
• Tuition assistance
• Student loan servicing and support
• Adoption benefits
• Backup Childcare and Eldercare
• Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
• Discount on services at Lurie Children’s facilities
• Discount purchasing program
  
  

There’s a Place for You with Us

At Lurie Children’s we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds, skills, and viewpoints — recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging and allyship. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.

Lurie Children’s and its affiliates are equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.

Support email: candidatesupport@luriechildrens.org