Denials and Payor Relations Program Manager
Denials and Payor Relations Program Manager
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$ 83200 - 137280
1 Vacancy
Job Description
Ann & Robert H. Lurie Childrens Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence kids and their families are at the center of all we do. Ann & Robert H. Lurie Childrens Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.
Location
Job Description
General Summary:
The Denials and Payer Relations Program Manager is responsible for the development implementation and management of the Lurie Revenue Cycle denial mitigation strategy. They will also be responsible for the identification analysis and communication of any changes in payer guidelines that affect the revenue cycle and peripheral departments. Additionally this role acts as the liaison between Lurie Childrens and our managed care payers for revenue cycle related issues.
Essential Job Functions:
- Timely review of provider updates and contracts to identify any changes in coverage processes or policy that affect Lurie Children operations.
- Facilitate communications workflow updates and education required to implement identified payer changes.
- Creates and maintain database of payer related situation response guidelines to help insure effective and efficient interactions with payers.
- Manages relationship with managed care provider representative and facilitates monthly revenue cycle payer meetings.
- Works closely with revenue cycle leaders to understand document and track ongoing payer issues and work with payer representative to facilitate resolution.
- Analyses denial trends across Lurie financial entities in order to prioritize solution development to reduce or eliminate denial trends.
- Collaborates with Revenue Cycle and other department leaders to drive denials improvements across the system through prioritize project implementation.
- Facilitates the monthly denials task force meetings.
- Other job functions as assigned.
Knowledge Skills and Abilities:
- Baccalaureate degree required preferably in Business Administration Health Administration or Finance. Masters degree in one of these areas strongly preferred.
- Strong analytical interpersonal managerial and oral and written communication skills required.
- Five years revenue cycle experience in a health care institution or healthcare insurance company. Similar experience in health care accounts receivable consulting or third-party claims management environment may also be considered.
Education
Pay Range
$83200.00-$137280.00 SalaryAt Lurie Childrens we are committed to competitive and fair compensation aligned with market rates and internal equity reflecting individual contributions experience and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions.In addition to base salary Lurie Childrens offer a comprehensive rewards package that may include differentials for some hourly employees leadership incentivesfor select roles health and retirement benefits and wellbeing programs. For more details on other compensation consult your recruiter or click the followinglink to learn more about our benefits.
Benefit Statement
For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:
Medical dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO) Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match
Various voluntary benefits:
Supplemental Life AD&D and Disability
Critical Illness Accident and Hospital Indemnity coverage
Tuition assistance
Student loan servicing and support
Adoption benefits
Backup Childcare and Eldercare
Employee Assistance Program and other specialized behavioral health services and resources for employees and family members
Discount on services at Lurie Childrens facilities
Discount purchasing program
Theres a Place for You with Us
At Lurie Childrens we embrace and celebrate building a team with a variety of backgrounds skills and viewpoints recognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly appreciate differences and make meaningful connections that foster belonging. This is a place where you can be your best so we can give our best to the patients and families who trust us with their care.
Lurie Childrens and its affiliatesare equal employment opportunity employers. All qualified applicants will receive consideration for employment without regard to race color sex sexual orientation gender identity or expression religion national origin ancestry age disability marital status pregnancy protected veteran status order of protection status protected genetic information or any other characteristic protected by law.
Required Experience:
Manager
Employment Type
Full-Time
