1 Payer Relations Account Manager Job in Springs, GA
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Hemophilia of Georgia is Hiring a Payer Relations Account Manager Near Springs, GA
- Bachelor’s degree preferred or equivalent work experience.
- A minimum of seven years sales and/or direct customer facing experience, preferably in the healthcare industry.
- A minimum of 3 years payer relations experience, including navigation of revenue cycle processes from Prior Authorization through Denial and Appeal management.
- Understanding of Commercial, Government and Self-Insured Health plans and pharmacy benefit managers.
- Ability to influence and build relationships/earn credibility with internal and external customers.
- Skilled in payer contract negotiations.
- Understanding of 340B pricing model is a plus.
- Ability to analyze and resolve complex problems at both a strategic and functional level.
- Highly developed time management skills with demonstrated ability to meet deadlines and handle multiple priorities with a high degree of initiative required.
- Proven solid team player that has a customer service approach and is solution oriented.
- Excellent project management skills and ability to develop, plan and implement short- and long-term goals.
- Ability to handle sensitive situations and maintain confidentiality.
- Strong team player who brings initiative, positivity and creativity to the table
- Excellent written and verbal communication skills
- Proficient in Microsoft Office products and any required software used by department.
- Candidate must be fluent in Excel, Word and PowerPoint.
- Ability to travel up to 15% is required.
- Develop and maintain customer relationships built on trust and excellent results.
- Resolve payer issues and oversee conflict resolution between payers and Hemophilia of Georgia.
- Provide support to the Accounts Receivable team as needed to ensure timely reimbursement by leveraging key contacts at payers.
- Take a collaborative approach to contract negotiations, and drive contract review and rollout processes.
- Seek competitive insights and intelligence to inform Hemophilia of Georgia of challenges and opportunities in the marketplace.
- Proactively identify problems and take initiative to develop associated solutions.
- Through ongoing contact with account representatives, identify situations that may signal opportunities for growth and drive related initiatives.
- Promote a patient centered culture that strives to exceed needs and expectations by educating and developing rapport with external customers.
- Serve as advocate for external customers by engaging and facilitating internal dialogue as necessary to support the customer relationship.
- Learn the strengths and weaknesses of internal and external customers and share ideas, resources and expertise to enhance performance.
- Identify payer relations challenges/trends and work to address them.
- Develop a cadence for interactions with assigned accounts as needed to promote a solid partnership.
- Maintain and augment departmental resources and collateral to support business development.
- Manage credentialing and other contract administration functions as required.
- Develop and maintain contract summary sheets for assigned accounts and ensure accurate data is shared with interdisciplinary teams.
- Attend trade shows and conferences as assigned.
- Additional duties as assigned by the Vice President, Payer Relations.
Job Summary
Full Time
Ancillary Healthcare
$84k-116k (estimate)
10/25/2023
05/22/2024
hog.org
SANDY SPRINGS, GA
25 - 50
1973
MARIA MANAHAN
$10M - $50M
Ancillary Healthcare
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About Hemophilia of Georgia
Hemophilia of Georgia is a nonprofit organization dedicated to providing services and support for people who have hemophilia, von Willebrand Disease, and other inherited bleeding disorders. The only agency of its kind in the state, Hemophilia of Georgia works to enhance clients' care and quality of life while actively pursuing a cure through research funding. Medical disclaimer: Hemophilia of Georgia is not engaged in the practice of medicine and does not endorse or support any particular factor concentrate or treatment protocol. HoG recommends that you consult with your physician prior to sta...rting any course of therapy. Occasionally HoG disseminates information on new treatments or therapies. HoG shares this for informational purposes only and makes no claim as to its accuracy or effectiveness.
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