Client Relations Specialist Job at Park Nicollet
This position will assist the Payer Relations team in the management of HealthPartners Family of Care’s operational, financial, and administrative relationships with payers. This includes completion and/or coordination of required payer documentation, communicating payer policy requirements, escalation of payer and provider issues for contracted payers for the HealthPartners Family of Care entities. This position functions in a supportive role on payer relations required tasks and works in partnership with various internal customers including but not limited to operations, credentialing/enrollment, finance/contracting, and revenue cycle.
Education/Experience:
- AAS in health care administration/management, business administration or a related field or three years of related healthcare experience.
- Two years’ experience in healthcare revenue cycle, provider network management, or other comparable medical group practice or healthcare payer field.
- Previous HealthPartners Care Group or Health Plan experience preferred.
- Epic practice management experience preferred.
Special Knowledge/Skills/Certifications/Licenses:
- Basic knowledge of healthcare registration, coding, billing, and insurance terminology.
- Ability to work independently with minimal direction.
- High degree of initiative and ability to manage priorities and identify opportunities.
- Ability to develop and maintain positive relationships with internal and external customers.
- Highly effective written and oral communication skills.
- Proven time management and organizational skills.
- Excellent researching and problem-solving skills with an attention to detail.
- Strong PC skills, with proficiency in Microsoft Outlook, Word, and Excel.
Additional Information:
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Manage and maintain a strong, collaborative partnership with HealthPartners, Blue Cross Blue Shield, Medica, PreferredOne, UCare, United Healthcare and other contracted payers/networks.
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Provide ongoing guidance, education, and support to operational leaders on payer contracts, policy requirements and disseminates relevant information from contracted Payer Representatives critical to maximization of financial performance and revenue cycle outcomes.
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Serve as a consultant to HealthPartners Family of Care providers and staff for contracted payer/networks inquiries on, insurance products and rules, contract status, medical policy, and other payer relations topics.
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Responsible for timely and accurate completion, maintenance and/or coordination of contracted payers required documentation including, but not limited to facility credentialing, disclosure of ownership, attestations, and directory audits.
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Assist with the coordination of the quarterly contracted payer meetings held for HealthPartners Family of Care entities which includes education, discussion topics, and addressing contracting, billing, customer service, coding, reimbursement, directory, and enrollment issues.
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Facilitate resolution to escalated issues between contracted payers/networks and HealthPartners Family of Care entities as appropriate.
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Responsible for communicating and partnering with the revenue cycle and finance leadership to ensure maximum reimbursement from all payer sources, which includes negotiating single case agreements with non-contracted payers.
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Complete administrative tasks which aid in effective and efficient functioning of the payer relations department.
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Perform other duties as assigned.
The Organization
At Park Nicollet you're part of something bigger. We're a member of the HealthPartners organization, an award-winning integrated health care system comprised of several organizations. HealthPartners includes a team of 21,000 people dedicated to making a difference for our members, patients and the community. Whether you want to work in direct patient care, or support those who do, you will find a vast variety of job opportunities. Here, your contributions help to improve lives and impact health care for the better. If you want to make a difference, we want you on our team.
Park Nicollet Mission, Vision and Values
Mission: Our mission is to improve health and well-being in partnership with our members, patients and community.
Vision: Health as it could be, affordability as it must be, through relationships built on trust.
Values:
- Excellence We strive for the best results and always look for ways to improve.
- Compassion We care and show empathy and respect for each person.
- Partnership We are strongest when we work together and with those we serve.
- Integrity We are open and honest, and we keep our commitments.
What makes us unique?
At Park Nicollet, we never forget why we're here. Your health and well-being is our top priority and is at the forefront of everything we do. We believe outstanding health care is delivered when we merge the science and intellect of medicine with the compassion, spirit and humanity of our hearts. We refer to this as "Head + Heart, Together," and it exists to inspire constant improvement and lasting success. We achieve this by partnering with patients and families in everything from care decisions to service and facility design. As we work together as a unified team, we engage patients, families and the community, and put them at the center of everything we do.
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