About the Role
The Payer Fee Schedule Expert will be responsible for maintaining and updating fee schedules for various payers, ensuring that reimbursement rates are accurate and compliant with contractual agreements. This role involves working with payers to negotiate and implement fee schedule changes, as well as collaborating with internal teams to ensure accurate billing and reimbursement processes.
Responsibilities
- Manage and update fee schedules for payers
- Ensure accurate reimbursement rates
- Collaborate with payers to negotiate fee schedule changes
- Implement fee schedule changes
- Work with internal teams to ensure accurate billing and reimbursement
- Monitor fee schedule changes
- Ensure compliance with contractual agreements
- Maintain accurate and up-to-date fee schedules
- Communicate effectively with payers and internal teams
- Resolve any discrepancies in fee schedules
- Provide support to the revenue cycle team
- Ensure timely and accurate reimbursement
- Stay up-to-date with industry trends and regulations
- Participate in special projects as needed
- Maintain confidentiality of sensitive information
- Ensure data integrity and accuracy
- Collaborate with other departments to improve processes
- Provide training and support to team members
- Ensure compliance with all relevant laws and regulations
- Prepare and submit reports as needed
- Maintain a positive and professional demeanor
- Ensure customer satisfaction with fee schedule processes
- Participate in continuous improvement initiatives
- Ensure timely submission of fee schedule updates
Nice to Have
- Master's degree in a related field
- Certification in healthcare reimbursement
- Experience with specific fee schedule software
- Knowledge of advanced data analysis techniques
- Experience with healthcare compliance and auditing
- Familiarity with healthcare industry trends and regulations
- Experience with contract negotiation
- Knowledge of healthcare billing and coding systems
- Experience with healthcare revenue cycle management
- Ability to lead special projects
- Experience with data visualization tools
- Knowledge of healthcare reimbursement methodologies
- Experience with payer negotiations
- Ability to train and mentor team members
- Experience with healthcare compliance and regulatory requirements
- Knowledge of healthcare industry best practices
- Experience with fee schedule audits
- Ability to manage complex fee schedule changes
- Experience with healthcare data analysis
- Knowledge of healthcare reimbursement policies
- Ability to work with diverse teams
Compensation
Competitive
Work Arrangement
Remote
Team
Healthcare
Education
- Bachelor's degree in a related field
- Master's degree in a related field (preferred)
Certifications
Certification in healthcare reimbursement (preferred)
Technical Skills
- Proficiency in Microsoft Office Suite
- Experience with healthcare reimbursement systems
- Knowledge of healthcare regulations and compliance
- Experience with data analysis and reporting
- Experience with fee schedule software
- Knowledge of reimbursement methodologies
- Experience with healthcare billing and coding
- Experience with healthcare revenue cycle management
- Knowledge of payer policies and procedures
- Experience with healthcare compliance and auditing
- Experience with healthcare data analysis
- Experience with healthcare compliance and regulatory requirements
- Experience with fee schedule audits
- Knowledge of healthcare industry trends and regulations
- Experience with healthcare industry best practices
- Experience with healthcare billing and coding systems
- Experience with healthcare reimbursement methodologies
- Experience with healthcare reimbursement policies
- Experience with healthcare reimbursement systems
- Experience with healthcare reimbursement methodologies
Soft Skills
- Strong analytical and problem-solving skills
- Excellent communication and interpersonal skills
- Ability to work independently and in a team environment
- Attention to detail and accuracy
- Strong organizational skills
- Ability to manage multiple tasks and priorities
- Ability to work under pressure and meet deadlines
- Strong customer service skills
- Ability to maintain confidentiality
- Ability to adapt to changes in the healthcare industry
- Ability to work remotely
- Ability to collaborate with cross-functional teams
- Ability to lead special projects
- Ability to train and mentor team members
- Ability to manage complex fee schedule changes
- Ability to work with diverse teams
Experience
- Proven experience in fee schedule management
- Experience with contract management
- Experience with fee schedule negotiation processes
- Experience with contract negotiation
- Experience with payer negotiations
- Experience with healthcare compliance and auditing
- Experience with healthcare revenue cycle management
- Experience with healthcare data analysis
- Experience with healthcare compliance and regulatory requirements
- Experience with fee schedule audits
- Experience with healthcare industry best practices
- Experience with healthcare billing and coding systems
- Experience with healthcare reimbursement methodologies
- Experience with healthcare reimbursement policies
- Experience with healthcare reimbursement systems
- Experience with healthcare reimbursement methodologies
Additional Information
- Must be able to work remotely
- Must be able to work independently and in a team environment
- Must be able to manage multiple tasks and priorities
- Must be able to work under pressure and meet deadlines
- Must be able to maintain confidentiality
- Must be able to adapt to changes in the healthcare industry
- Must be able to collaborate with cross-functional teams
- Must be able to lead special projects
- Must be able to train and mentor team members
- Must be able to manage complex fee schedule changes
- Must be able to work with diverse teams
Not specified
