Payer Provider Engagment Anlayst

This is ahybrid rolethatisopento candidates working from Oregon orWashington. Team members typically work2-3days per weekonsiteat aLegacy Health location with theremainderof the workweek completedfrom avirtuallocation(inOregon or Washington).All new hires arerequiredto travel to a Legacy Health office inPortland Oregonprior to theirstartdate to complete anewhire health assessment andnewhire paperwork. Initial training and orientation may be conductedon-site before transitioning to the hybrid schedule.

Every member of the Legacy community fulfills a purpose that drives our success as a compassionate and caring hospital. If youre ready to share your skills with our supportive community please consider this opportunity.

• The Payer Provider Engagement Analyst serves as a liaison between the organization and its payers.
• This role is responsible for compiling payer data understanding health plan requirements around billing documentation authorization processes policy changes and more and educates Legacy Health staff about these requirements.
• This role is also responsible for analyzing trends around payer denials and outstanding A/R and working with internal departments as well as external payers to resolve identified issues.

Education:

• Bachelors Degree in Business Healthcare Administration Information Systems Computer Science or equivalent degree OR equivalent experience.
• Masters degree preferred.

Experience:

• Five years of experience in healthcare billing follow-up or denials management required.
• Minimum of three years experience in payer contracting or payer relations management required.
• Prior hospital or health care experience with emphasis on workflow and procedures operations management financial management and reimbursement issues required.
• Quality Assurance project management and leadership experience required.

Skills:

• Ability to promote/support management with payer relations A/R management and insurance plan requirements.
• Development and maintenance of reports by payer and plan level detail (e.g. Trends action plans).
• Must have in-depth knowledge of payer requirements.
• Strong analytical skills and experience with various analytic and reporting solutions.
• Strong interpersonal skills including excellent written and verbal communications.
• Ability to effectively communicate with various levels of staff both internally and externally.
• Strong understanding of healthcare billing follow-up and denials management processes and systems.

Our Legacy is good for health for Our People Our Patients Our Communities Our World. Above all we will do the right thing.

If you are passionate about our mission and believe you can contribute to our team we encourage you to applyeven if you dont meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.

Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race color religion or creed citizenship status sex sexual orientation gender identity pregnancy age national origin disability status genetic information veteran status or any other characteristic protected by law.

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