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Government Payor Alliance Manager
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- Government Payor Alliance (GPA) Team optimizes revenue and patient advocacy through public policy monitoring, data analysis, and issue resolution.
- This position directs, develops, and enhances personal relationships with key individuals at the CMS, Medicare MACs (Medicare Administrative Contractors), and state Medicaid offices to include managed government payor relationships (Medicare Advantage/Managed Medicaid).
- Escalate issues to Payors and lead projects designed to reduce Medicare/Medicaid denials, rejections, and write-offs
- Serve as Liaison with Compliance, Medical Records, and other teams, partner as assigned to communicate new information as relevant, to identify areas of opportunity for process improvement, and to develop partnerships as needed to ensure accurate and timely Medicare Billing and follow up
- 3-5 years' healthcare reimbursement and revenue cycle management experience required including demonstrated knowledge of government regulations and non-government payor contracting
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