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Payer Relations Manager

Company: VirtualVocations
Location: Vista
Posted on: May 13, 2025

Job Description:

A company is looking for a Payer Relations Manager to manage and optimize relationships with health plans for efficient revenue cycle operations.
Key Responsibilities

Serve as the primary contact for payer representatives to resolve enrollment, underpayment, and billing issues
Monitor ongoing payer issues and collaborate with internal teams to implement corrective actions
Provide updates on national payer trends and prepare reports on payer performance and compliance

Required Qualifications

Bachelor's degree in healthcare administration, business, or related field (Master's preferred)
Strong experience in payer relations and revenue cycle management
Understanding of payer contracting, billing processes, and healthcare regulations
Proven ability to build relationships with external stakeholders, including health plans
Advanced Microsoft Excel skills strongly preferred

Keywords: VirtualVocations, Yorba Linda , Payer Relations Manager, Executive , Vista, California

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