Payer Relations Liaison

7 days left

Location
Gaithersburg, MD
Posted
Mar 05, 2021
Closes
Apr 17, 2021
Ref
R-013194
Function
Nurse
Industry
Healthcare
Hours
Full Time
Adventist HealthCare seeks to hire an experienced Payer Relations Liaison who will embrace our mission to extend God's care through the ministry of physical, mental and spiritual healing.

As a Payer Relations Liaison, you will:
• Serve as primary liaison between Adventist HealthCare and payers
• Convene and lead regularly scheduled joint operations committee meetings with payer representatives and internal department leadership to address issues relating to policies, reimbursement and/or contracts
• Work with payer representatives daily to resolve disputes
• Maintain strong working relationships with the Revenue Cycle team
• Run and audit reports on a consistent basis to identify incorrectly processed payments
• Research regulations, industry information, and payer policies as needed
• Negotiate and obtain single case agreements with non-contracted payers
• Attend monthly denial meetings

Qualifications:
• Bachelor's degree in related field
• Minimum of 4 to 5 years working experience in a health care, managed care, payer relations, payer maintenance, or contracting field
• Working knowledge of laws, state, and national health care industry regulations preferred

At Adventist HealthCare our job is to care for you. We do this by offering:
• Work life balance through non rotating shifts
• Recognition and rewards for professional expertise
• Free Employee parking
• Competitive comprehensive benefit plans offered (including health, disability, PTO and 403B retirement plan with matching and 3 year vesting)
• 100% Coverage for inpatient care - at Adventist HealthCare facilities
• 100% Coverage for urgent care nationwide - after copay

As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.

If you want to make a difference in someone's life every day, consider a position with a team of professionals who are doing just that, making a difference.

Join the Adventist HealthCare team today! Apply now to be considered.

Work Schedule:

Full-time days

Tobacco and Drug Statement

Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.

While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.

Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.

Equal Employment Opportunity

Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

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