Payor Relations Coordinator

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🕒 Julho 25

⚜️ Louisiana – Remoto

⚜️ Louisiana – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

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Franciscan Missionaries of Our Lady Health System

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1911

🏥 Saúde

🤝 Sem Fins Lucrativos

🌍 Impacto Social

Healthcare • Non-profit • Social Impact

Franciscan Missionaries of Our Lady Health System é um dos maiores sistemas de saúde da Louisiana, atendendo a mais da metade da população do estado e à maior área metropolitana do Mississippi. Esta organização sem fins lucrativos e católica oferece uma gama abrangente de serviços de saúde através de sua rede de hospitais, clínicas e médicos, com foco na qualidade do atendimento ao paciente, saúde da comunidade e educação. Com sede em Baton Rouge, Louisiana, a missão da organização é proporcionar excelência nos serviços de saúde e cuidar dos doentes em toda a Louisiana e Mississippi.

Descrição

• 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 FMOLHS 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. • Works collaboratively with internal departments (i.e., Financial Operations, Revenue Management, Business Office, etc.) to ensure reimbursement is optimized and to resolve identified issues. • Assists in the resolution of identified operational issues with contracted payers. This includes resolution of reimbursement, operational and clinical issues. • Works with affiliated entities in the development and maintenance of managed care contracts and strategies.

🎯 Requisitos

• 3 years professional level hospital or managed care experience • Bachelor's Degree