Payer Provider Engagment Anlayst in PORTLAND, Oregon at Legacy Health

Legacy Health

Payer Provider Engagment Anlayst

Equal Opportunity Employer/Vet/Disabled
US-OR-PORTLAND

Job ID: 26-48451
Type: Regular Full-Time
Northwest 31st Bldg

Overview

This is a hybrid role that is open to candidates working from Oregon or Washington. Team members typically work 2-3 days per week onsite at a Legacy Health location, with the remainder of the workweek completed from a virtual location (in Oregon or Washington). All new hires are required to travel to a Legacy Health office in Portland, Oregon prior to their start date to complete a new hire health assessment and new hire paperwork. Initial training and orientation may be conducted on-site before transitioning to the hybrid schedule.

Responsibilities

Every member of the Legacy community fulfills a purpose that drives our success as a compassionate and caring hospital. If you’re 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.

Qualifications

Education:

• Bachelor’s Degree in Business, Healthcare Administration, Information Systems, Computer Science or equivalent degree OR equivalent experience.
• Master’s 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.