Shire Jobs

This is a hybrid position. Purpose of Job As a Payer Relationship Coordinator, you will help manage Ridgeview's partnerships with health insurance companies. This role involves cultivating and nurturing strong relationships with our payer accounts, working cross-functionally with internal stakeholders to ensure payer needs are met, and acting as a bridge between our services and their mission to improve access to high-value healthcare. Job Functions Serve as the primary point of contact communication between internal stakeholders and payers, building and maintaining strong relationships, and acting as a trusted partner. Understand the unique processes of each payer, aligning our solutions to their objectives, and fostering a collaborative partnership. Engage proactively with payers and internal stakeholders to provide timely support, address inquiries, and ensure seamless communication to enhance overall satisfaction. Coordinate with internal teams to ensure successful onboarding, implementation, and ongoing support of our payer partners, including facility enrollment. Identify potential issues and proactively address concerns, finding effective and efficient solutions to maintain positive payer experiences. Collaborate with cross-functional teams to identify strategic partnership opportunities which can promote efficient workflow and communication processes. Execute other payer related duties as assigned. Minimum Education/Work Experience Bachelor's degree in Finance, Business Administration or Management In lieu of above educations, 5-years' experience in healthcare working with payers and health systems Knowledge/Skills/Abilities Comprehensive understanding of managed care payment and government payer methodologies Ability to meet and maintain the necessary background checks as aligned with position functions Ability to communicate in the English language for effective written and verbal correspondence to complete job functions as mentioned above Comprehensive understanding of revenue cycle process in the hospital, clinical, and ancillary healthcare setting Interpersonal and relationship management skills Advanced level of expertise in Microsoft Office applications License/Certifications Bachelor's degree in finance, business administration or management. 5-years' experience in healthcare working with payers and health systems. Link to Physical Demands Minimum Education/Work Experience Bachelor's degree in Finance, Business Administration or Management In lieu of above education, 5-years' experience in healthcare working with payers and health systems. Knowledge/Skills/Abilities Ability to meet and maintain the necessary background checks as aligned with position functions Ability to communicate in the English language for effective written and verbal correspondence to complete job functions as mentioned above Comprehensive understanding of managed care payment and government payer methodologies Ability to communicate in the English language for effective written and verbal correspondence to complete job functions as mentioned above Comprehensive understanding of revenue cycle process in the hospital, clinical, and ancillary healthcare setting Interpersonal and relationship management skills Advanced level of expertise in Microsoft Office applications Ridgeview Medical Center will not discriminate against or harass any employee or applicant for employment because of race, color, religion, sex, pregnancy, citizenship, national origin, age, disability, military service, veteran status, genetic information, union membership, creed, marital status, familial status, sexual orientation, gender identity, status with regards to public assistance, membership in a local human rights commission, or any other category that may be protected by law.