Manager, Payment Strategy

🔥 0 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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CompIQ Solutions

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2003

🏥 Healthcare

🛡️ Insurance

💼 Consulting

Healthcare • Insurance • Consulting

CompIQ Solutions is a leader in the medical billing industry, providing a comprehensive suite of software and services designed to streamline and improve the medical bill review process. Their primary focus is on offering medical bill review software tailored for the casualty insurance market, enabling regulatory compliance, cost efficiency, and integration with existing platforms. In addition to their core software, CompIQ Solutions offers ancillary services including document management, PPO services, out-of-network negotiation, outsourced bill review, and a comprehensive examiner toolbox to optimize medical billing workflows. Clients benefit from the combination of advanced technology and expert support, delivering network and claims cost savings effectively. With robust integration capabilities, payment services, and a strong emphasis on client success, CompIQ Solutions stands out as a trusted partner in the medical billing sector.

📋 Description

• Lead, coach, and manage a team of Medical Bill Negotiators, including hiring, onboarding, training, performance management, and career development • Develop, implement, and continuously refine payment and negotiation strategies and guidelines to maximize savings and pricing optimization across the provider network • Set team goals and monitor KPIs including savings achieved, negotiation turnaround time, and provider agreement rates • Drive corrective action when performance issues arise • Review and analyze Explanation of Reimbursement (EORs), medical bills, and negotiation outcomes to identify trends and strategic opportunities • Serve as the escalation point for complex, high-dollar, or difficult provider negotiations • Build and maintain relationships with key provider groups • Draft polished, executive-style letters to medical providers requesting negotiations on medical bill reimbursement • Partner with client-facing teams to meet client expectations and reporting requirements • Ensure accurate, up-to-date provider demographics and negotiation outcomes in Smartsheet • Collaborate with AuditIQ operations leadership on planning, daily standups, and bill inventory sessions • Ensure team compliance with company guidelines, code of conduct, policies, and standards • Perform other duties as assigned by leadership

🎯 Requirements

• Bachelor’s degree in business/healthcare administration or a related field is required • AAPC certification preferred • Minimum of 3-5 years of experience in workers’ compensation and/or medical bill review, with demonstrated success in medical bill negotiation • Prior experience leading, supervising, or mentoring a team is required • Experience in healthcare coding or billing is required • Familiarity with the CompIQ Bill Review Platform preferred but not required • Strong analytical and problem-solving skills, with the ability to translate data into actionable negotiation strategy • Excellent communication skills, including the ability to represent the team professionally with clients and providers • Exceptional writing skills, including the ability to compose polished, executive-style letters to medical professionals • Strong working knowledge of Office 365 and Smartsheet • Ability to manage multiple priorities in a fast-paced, deadline-driven environment • Demonstrated ability to build and maintain constructive, cooperative working relationships across teams • Proven leadership skills with the ability to coach, motivate, and develop a high-performing team

🏖️ Benefits

• Fair and Competitive Salary • Flexible schedule in a hybrid or remote-work environment (depending on location) • Flexible Paid Time Off • Paid Parental Leave • Tuition Reimbursement • Identity Theft Protection • Medical, Dental, and Vision Insurance • 100% Company-paid Short-Term and Long-Term Disability • 100% Company-paid Life Insurance with additional voluntary enrollment options • Employee Assistance Programs including counseling with up to 6 complimentary sessions • Monthly Wellness (Gym Membership) Stipend • Health Spending Account (HSA) and Flexible Spending Account (FSA) Programs • 401(k) Plan with a 100% vested company match • Career development and growth opportunities

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