RCM Payer Performance Policy and Escalation Manager

Description

Professional - Nonclinical
Req #: 59045

Summary:

The RCM Payer Performance Policy and Escalation Manager is responsible for coordinating payer performance initiatives across the Revenue Cycle. This role facilitates a unified and accurate presentation of data and project related work as it pertains to payer policy impacts, payer claim resolution projects, and coverage research that impact payer performance, claim resolution, contract adherence, clinical initiatives, and reimbursement accuracy.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education:Bachelor's degree in business, finance, healthcare administration, or related field. May accept a combination of management and technical experience equivalent to a degree
2. License/Certifications: N/A
3. Experience:3 to 5 years in revenue cycle operations, payer relations, auditing and appeals, medical insurance, or other healthcare experience. Experience in a multi-facility or integrated health system preferred.
4. Additional Skills/Requirements Required: Proficiency in data visualization and reporting tools, such as Excel, SmartSheets, Epic
5. Additional Skills/Requirements Preferred: N/A

If you have questions about this role, please contact alyssa.lewis@mainehealth.org