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MANAGER- PAYOR RELATIONS

Aspirus Ironwood Hospital

Wausau, WIFull-timeSeen todaySeen in employer's feed today

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At a glance

Compensation
No compensation found
Location
Wausau, WI
Schedule
Full-time
Work Authorization
Not specified

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Requirements

Credentials this posting asks for.

Bachelor's degree, required

Job overview

The Payor Relations Manager leads payor relationship management, protects reimbursement, maintains payor and contract information, and ensures timely provider enrollment. The role oversees teams handling contract interpretation, payment accuracy, underpayment appeals, and enrollment. It builds payor relationships through meetings, performance reviews, and issue resolution, educates staff on payors and plans, and supports governance and steering committees.

Skills & qualifications

RequiredNice to have

Skills

Healthcare Financial Management, requiredContract Language, requiredPayor Relations, requiredIssue Resolution, requiredFinancial Analysis, requiredMedicare Guidelines, requiredMedicaid Guidelines, requiredRegulatory Guidelines, requiredResourcefulness, requiredInnovation, requiredInterpersonal Skills, requiredCritical Thinking, requiredIndependent Judgment, requiredDecision-Making, requiredPrioritization, requiredCollaboration, requiredProject Management, requiredProject Implementation, requiredPersonnel Management, requiredVerbal Communication, requiredWritten Communication, requiredRevenue Cycle Functions, requiredRevenue Flow, requiredIndustry Terminology, requiredTroubleshooting, requiredConflict Resolution, requiredCustomer Orientation, required

Qualifications

Bachelor's in Business, Finance, Accounting, or Health-Related Field, required3+ Years Payor Relations Experience, requiredSupervisory or Management Experience, nice to haveAuditing and Internal Controls Experience, nice to haveAnnual Competencies, required

Benefits

Paid Time Off
401(k) Match

Full job description

Compassion. Accountability. Collaboration. Foresight. Joy.

These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.

Aspirus Health in WAUSAU, WI is seeking a MANAGER- PAYOR RELATIONS to join our REVENUE CYCLE team!

The Payor Relations Manager provides leadership in protecting the reimbursement of Aspirus in management of payor relationships, maintaining the integrity of payor and contract information, and ensuring timely enrollment of providers with payors. This position is critical to the advancement of Aspirus’ thorough understanding of payors and our relationship with them so that processes can adjust as this portion of healthcare changes. In this position, the Payor Relations Manager oversees teams that focus on ensuring payor contracts are understood, appropriate payments are received from payors, underpayments are appealed, and ensures Aspirus facilities and providers are timely and accurately enrolled with contracted payors. This position is responsible to build constructive relationships with Aspirus payors through regular meetings, review of performance metrics, and the resolution of elevated issues within Aspirus through collaborating with Aspirus Network or working directly with the payor. The Payor Relations Manager also provides education to Aspirus on new payors and plans to ensure proper identification and handling for our Aspirus patients. The Payor Relations Manager facilitates and plays a key role in governance and steering committees over the areas of responsibility.

HOURS: Full Time, 1.0 FTE, 80 hours every two weeks

Experience/Qualifications

  • Knowledge of healthcare financial management or related field normally acquired through completion of a Bachelor’s Degree in Business, Finance, Accounting, or other health related profession.

  • Three to five years of experience supporting a managed care or payor relations functions at either health plan or provider organizations.

  • Knowledge of contract language provisions and payor relations-oriented issue resolution.

  • Experience preparing and working with financial analysis of high complexity.

  • Supervisory or management experience necessary to develop administrative skills, including work experience in project management is preferred.

  • Previous experience with auditing and internal controls is preferred.

  • Working knowledge of current Medicare, Medicaid, and other regulatory or payor guidelines and requirements.

  • Possesses a high level of resourcefulness, innovation, and interpersonal and critical thinking skills.

  • Ability to use independent judgment and decision-making.

  • Ability to deal with frequent interruptions.

  • Ability to prioritize workload.

  • Ability to collaborate including building, leading, motivating and coordinate activities of a cross-functional and/or multi-corporate team.

  • Possesses project management and implementation skills necessary to develop and implement appropriate changes impacting revenue and reimbursement.

  • Strong personnel management skills to direct work of and motivate assigned staff.

  • Excellent verbal and written communication skills including the ability to communicate technical/regulatory concepts to a non-technical audience.

  • Detailed knowledge of revenue cycle functions and revenue flow.

  • Understanding of Industry specific terminology.

  • Position requires some travel.

  • Strong troubleshooting skills.

  • Possess conflict resolution skills.

  • Strong customer orientation.

  • Professionalism.

  • Annual competencies as required by Aspirus and/or various regulatory agencies based on entity and/or job position.

Employee Benefits

  • Full benefits packages available for part- and full-time status.

  • Time away from work accrual.

  • Retirement plans available.

  • Wellness program for employees and their families.

Our Mission : We heal people, promote health and strengthen communities.

Our Vision : Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.

As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.

Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan. The health system operates 19 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. For more information visit aspirus.org.

Click here (https://www.aspirus.org/about) to learn more.

Position MANAGER- PAYOR RELATIONS

Location

Req ID 132430

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