Senior Payer Relations: Revenue Compliance & Recovery

Lehigh Valley Hospital, Inc.; Allentown (Lehigh County); On-site; USD 75,000 - 95,000; Full time

Job summary

Lehigh Valley Hospital, Inc. is seeking a Senior Payer Relations - Revenue Compliance & Recovery Specialist to enhance payment compliance and maintain payer relationships. The role involves analyzing reimbursement discrepancies, collaborating with revenue cycle teams, and implementing scalable processes to optimize reimbursement.

The ideal candidate will have a Bachelor’s degree and at least 5 years of relevant experience, along with expert knowledge of healthcare reimbursement and negotiating skills.

Qualifications

• 5 years progressive experience in billing or health insurance.
• Knowledge of medical billing practices and revenue cycle processes.
• Understanding of reimbursement methodologies such as fee-for-service.

Responsibilities

• Compare actual reimbursement to expected reimbursement.
• Build relationships with payer representatives.
• Monitor and analyze payer policy changes.

Skills

Expert knowledge of healthcare reimbursement

Negotiation skills

Analytical skills

Collaborative skills

Education

Bachelor’s Degree

Tools

EMR software

Excel

Job description

Lehigh Valley Hospital, Inc. is seeking a Senior Payer Relations - Revenue Compliance & Recovery Specialist to enhance payment compliance and maintain payer relationships. The role involves analyzing reimbursement discrepancies, collaborating with revenue cycle teams, and implementing scalable processes to optimize reimbursement.

The ideal candidate will have a Bachelor’s degree and at least 5 years of relevant experience, along with expert knowledge of healthcare reimbursement and negotiating skills.