Payer Contracting

2 weeks ago

Bengaluru, India Vivo HealthStaff Full time

**Job Title**: Payer Contracting Specialist

**Location**: India (Remote)

**About Us**: We are a burgeoning healthcare consulting firm dedicated to enhancing the operational efficiency of medical practices. We specialize in streamlining medical billing processes and negotiating favorable payer contracts. As we expand our services to support more practices, we seek a knowledgeable and experienced Payer Contracting Specialist to join our team.

**Key Responsibilities**:
1. **Contract Negotiation**: Lead negotiations with healthcare insurance payers to secure preferential rates and terms for our clients.
2. **Billing Strategy Consulting**: Provide expert consulting services in medical billing, ensuring compliance with U.S. healthcare regulations and maximizing revenue for clients.
3. **Market Analysis**: Conduct thorough market research to understand current trends in payer rates and identify opportunities for advantageous contracts.
4. **Client Liaison**: Work closely with clients to understand their specific needs, offering tailored solutions that align with their financial and operational goals.
5. **Contract Management**: Oversee all aspects of payer contracts, including renewals, amendments, and compliance monitoring.

**Qualifications**:

- Minimum of 5 years of experience in healthcare consulting, specifically in medical billing and payer contract negotiations for U.S. clients.
- Strong understanding of the U.S. healthcare system, including regulatory requirements and insurance reimbursement processes.
- Excellent negotiation and communication skills.
- Ability to analyze complex data and translate it into strategic insights.
- Proven track record of securing favorable contract terms for clients.

**Preferred Skills**:

- Familiarity with U.S. healthcare laws and billing codes.
- Experience in working with small to medium-sized medical practices.
- Strong organizational skills and attention to detail.

**Benefits**:

- Competitive salary and performance bonuses.
- Flexible working hours and the ability to work remotely.
- Opportunities for professional development and growth within the company.

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