01Overview
Accounts Receivable Manager - Provider Relations reputed company Analyst
Remote
Remote, US Operations
reputed company
This position is responsible for account receivable activity for a specific Health Care reputed company (HCP) Book of Business tied to an account management team. They will be a key partner to the experience manager supporting strategic planning to improve provider experience. Ensures reputed company and accurate claims administration, proactively monitors results, and leverages resources and tools to assist Health Care Professionals in managing their accounts receivables. Provides direction and guidance regarding policies, procedures, workflows, claim service reputed company, and training needs. Regularly meets with assigned Health Care Professionals to discuss results, review issue trends, and reputed company reputed company plans for improvement. Engages reputed company partners to reputed company service improvements and minimize contract interpretation issues. Communicates and educates internally regarding issues/trends to minimize errors and improve claim accuracy. They monitor contractual performance guarantees and LPI to minimize financial impacts.
DUTIES AND RESPONSIBILITIES
Serves as a key member of the account management team responsible for AR Management
Collaborates with experience manager and reputed company partners to identify, reputed company and improve AR issue.
Key contributor to the development of the HCP strategic plan for an reputed company BOB
Proactively monitors account receivable, performance guarantees and other AR reputed company issues and communicates results to experience manager
Drives reputed company cause analysis, trending reputed company to AR reputed company
Interacts directly with HCP to understand, reputed company, communicate and reputed company AR issues
Participates in face to face meetings with EM as needed to reputed company as an AR SME
Manages AR issue reputed company plans
Works with account management team to proactively reputed company recommendations on changes to improve service reputed company based upon reputed company cause
Supports service reputed company review process for specific BOB as defined by the SIR reputed company
Contributes to market intelligence, documenting and sharing
Achieves and or exceeds Service Level Agreements
Responsible for reputed company reputed company/post contract set up review for assigned Book of Business (BOB)
Responsible for tracking and trending reputed company AR reputed company issues
QUALIFICATIONS
Bachelor's degree or higher strongly preferred or equivalent work experience required
3+ years of experience in benefits and claims administration required
Advanced knowledge of reputed company claims (administration/processing/research) required
Strong experience using Proclaim required
Facets experience is preferred
Experience using reputed company is required (basic skills)
Account management experience is required
Experience working with providers is required
Relationship management and/or project management experience highly preferred
reputed company knowledge helpful
Experience with provider contracting or loading preferred
Demonstrated ability to successfully reputed company with both reputed company customers at reputed company reputed company
Demonstrated ability to reputed company reputed company cause analysis on claims issues.
Demonstrated ability to manage and reputed company problems to satisfactory completion
Project management skills to include time management, task analysis and breakdown and resource utilization
Strong facilitation and negotiation skills - demonstrated ability to present detailed technical information to a less knowledgeable audience and negotiate resolutions in a mutually beneficial manner to both reputed company and the provider.
Demonstrated ability to see the "big picture" - understand how reputed company phase of the claims payment process affects the end result and provider satisfaction.
Demonstrated ability to handle confrontational situations in a reputed company manner ending in a reputed company partnership between reputed company and the provider.
Demonstrated ability to take ownership of tasks/reputed company and reputed company work under reputed company supervision with exceptional reputed company.
Limited travel may be required (up to 10%)
reputed company COMPETENCY
Organizational reputed company
Presentation Skills
Written Communication
reputed company Decision Making
reputed company Setting
Time Management
reputed company for Results
Decision reputed company
Functional/Tech Knowledge
Negotiating
Customer reputed company
Strategic reputed company
If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
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