The Payer Relations & Contracting Specialist is responsible for fostering positive relationships with healthcare payers and managing effective contracts to ensure fair and timely reimbursement for VITAS Healthcare Corporation's compassionate end-of-life care services.
Requirements
- Draft, review, and negotiate contracts with healthcare payers, hospice service providers, and other partners
- Ensure that contracts align with the organization's strategic goals and comply with all legal and regulatory requirements
- Conduct detailed reviews of contract terms, payment rates, and performance metrics to identify areas for negotiation and improvement
- Collaborate with the Payer Relations & Contracting Manager and legal counsel to address contract-related issues
- Maintain positive relationships with healthcare payers and partners
- Advocate for favorable reimbursement rates and terms
- Ensure that all contracts and agreements are accurately documented and stored in accordance with company policies
- Monitor compliance with contractual obligations, regulations, and accreditation standards
- Collaborate with various departments to support the organization's financial and operational goals
- Track and report on contract performance, including revenue and reimbursement data
- Cultivate and maintain strong working relationships with healthcare payers
- Facilitate regular communication with payers to address inquiries, resolve issues, and negotiate favorable terms
- Monitor and track the status of claims escalations, ensuring timely and accurate reimbursement from payers
- Collaborate with the PR&C Manager and Revenue Cycle team to address payment discrepancies or denials and identify trends
- Ensure that all interactions with payers comply with regulatory requirements and industry standards
- Proactively identify opportunities to enhance the department's efficiency and effectiveness
- Recommend and implement process improvements to enhance contract management and negotiation processes
Benefits
- Competitive compensation
- Health, dental, vision, life and disability insurance
- Pre-tax healthcare and dependent care flexible spending accounts
- Life insurance
- 401(k) plan with numerous investment options and generous company match
- Cancer and/or critical illness benefit
- Tuition Reimbursement
- Paid Time Off
- Employee Assistance Program
- Legal Insurance
- Roadside Assistance
- Affinity Program
