Managed Care & Payer Relations Supervisor

Managed Care & Payer Relations

Full Time/ Day Shift/ 8- hour shift

Job Summary

Provides day-to-day leadership to the Payer Reimbursement Representatives. Manages the performance and productivity of the managed care contract compliance system. Ensures accurate and timely identification and recovery of "short pays/underpayments" from contracted & non contracted insurance payers. Identify patterns or recurring trends with payers that consistently do not reimburse in accordance to contracts and communicate this information to the appropriate parties (Manager, Director, Payer Representatives, etc.).

Minimum Qualifications

• Minimum Education: High School Diploma or Equivalent
• Minimum Years of Experience: 8 Years of experience in managed care finance.
• Substitutable Education & Experience: 8 Years of experience can be substituted with a Bachelor's Degree in a business related field and 3 years of experience in managed care finance
• Required Certifications/Licensure: None.
• Required Training: Ability to manipulate data in spreadsheets in order to report trends/patterns/statuses or abuses to Manager; Working knowledge of managed care terminology and reimbursement methodologies; Procedural knowledge of hospital or physician practice accounts receivable management and/or revenue cycle, and billing/coding terminology.

We are committed to offering quality, cost-effective benefits choices for our employees and their families:

• Day ONE medical, dental and life insurance benefits
• Health care and dependent care flexible spending accounts (FSAs)
• Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
• Employer paid life insurance – equal to 1x salary
• Employee may elect supplemental life insurance with low cost premiums up to 3x salary
• Adoption assistance
• LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
• Tuition reimbursement
• Student loan forgiveness

Equal Opportunity Employer