Payer Relations Representative Sr

Posted 11 Days Ago
Be an Early Applicant
Milwaukee, WI
Senior level
Healthtech
The Role
Responsible for managing relationships with payers, resolving contracting and claim issues, and supporting various internal stakeholders.
Summary Generated by Built In

At Children’s Wisconsin, we believe kids deserve the best.

Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.

We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.

Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin: https://www.instagram.com/lifeatcw/

Responsible for maintaining collaborative working relationships with Children’s Wisconsin’s most financially and operationally impactful contracted payers.  Works with payers to escalate and resolve contracting, claim payment, and eligibility problems.  Provides support to Revenue Cycle, Finance, and other key internal stakeholders to ensure payer contracts are operationalized effectively.

Minimum Job Requirements

Education

Bachelor’s Degree in Health Care Administration, Finance, Business Administration or other related field preferred.  In lieu of degree, equivalent years of work experience will also be considered.

Experience

Requires 5 years of experience in managed care or closely related professional experience including experience in patient accounts, finance, managed care, healthcare operations, or reimbursement areas.

Knowledge / Skills / Abilities

  • Exhibits guiding behaviors that reflect Children’s values and support our mission and vision.

  • Demonstrates high level of accuracy and attention to detail.

  • Proficiency in Microsoft Excel and Word required.

  • Strong interpersonal and relationship-building skills to promote positive peer and payer relations.

  • Strong oral and written communication skills.

  • Ability to manage multiple issues and prioritize effectively; Project Management and/or Process Improvement experience preferred.

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

Certifications/Licenses:

Top Skills

Excel
Microsoft Word
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The Company
Milwaukee, WI
4,392 Employees
On-site Workplace
Year Founded: 1894

What We Do

Children’s Wisconsin is the region’s only independent health care system dedicated solely to the health and well-being of children. We offer a wide range of care and support for children of all ages. Our services include medical care, dental care, child and family counseling, foster care, adoption, social services, child advocacy and injury prevention

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