Healthcare Liaison & Payor Relations Specialist

Hospital for Special Surgery; Florida; On-site; USD 48,000 - 64,000; Full time

Job summary

Hospital for Special Surgery is seeking a Regular Full Time staff member in a healthcare administration role. The position emphasizes contracts, coordination of physician enrollment in managed care plans, and ensuring compliance with negotiated agreements.

Responsibilities include addressing payor issues, liaising between physician offices and payors, and maintaining documentation and meeting coordination for PHO-related activities. No salary information is provided in the posting.

Qualifications

• Minimum 1-3 years healthcare setting, or the equivalent field, or related program.
• Ability to multitask in a fast-paced healthcare environment.
• Strong computer skills and knowledge of healthcare software programs.
• Professional demeanor and business attire.
• HIPAA compliance required.

Responsibilities

• Assists with contracts: assists in negotiation of physician managed care contracts, analytics, and financial modeling.
• Coordinates enrollment of physicians in managed care plans.
• Ensures compliance of managed care companies with negotiated contracts.
• Follows up and resolves payment issues with Insurance Payors.
• Acts as liaison between physician offices and Insurance Payors.

Job description

Hospital for Special Surgery is seeking a Regular Full Time staff member in a healthcare administration role. The position emphasizes contracts, coordination of physician enrollment in managed care plans, and ensuring compliance with negotiated agreements.

Responsibilities include addressing payor issues, liaising between physician offices and payors, and maintaining documentation and meeting coordination for PHO-related activities. No salary information is provided in the posting.