Fast Pace Health strives to provide a best in class patient experience in every interaction. We are seeking a highly-skilled, experienced Payor Relations Coordinator to join our growing team. Our ideal candidate will be deeply committed to nurturing our Fast Pace mission of teamwork, communication, empowerment and quality care in a friendly and encouraging environment.

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  We offer competitive compensation and benefits such as holiday pay, PTO, medical, dental, vision and Work-Life balance, to name a few.

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  As a Fast Pace Health employee you will have the opportunity to participate in community events and outreach programs. This includes, but is not limited to, seasonal parades, book drives, festivals, trunk or treating, fun runs, and more. We dress up for holidays and celebrate with pot lucks. At Fast Pace, our community is our family, and we are a family first community.

• Serves as a communication liaison between billing, clinical, and operations/payor relations teams to ensure clear understanding and implementation of payor contracts.
• Gather payor data from outside data sources to ensure Fast Pace has all appropriate contracts to drive clinic volume.
• Analyze paid claims against payor fee schedules.
• Monitor and obtain payor fee schedule updates.
• Create a dashboard to ensure Fast Pace is getting paid the correct allowable amounts by payor, state, and contract.
• Understand RHC process and handle clinic locations transitioning to RHC.
• Follow up with payors for amendments and fully executed contracts.
• Review different payor websites, newsletters, and Availity for change in reimbursement and medical policy.
• Obtain new contracts or amendments with payors for new RHC or DeNovo clinics.
• Training resource to clinical/PCS, credentialling, RCM and operational teams.
• Support efforts to implement various governmental reform initiatives related to Clinical Integration and other health reform initiatives by providing policy research and analysis.
• Provide support in creating both internal and external educational documentation on a variety of programs and other strategic initiatives.
• Assist with other duties assigned.
• Responsible for learning the aspects of compliance in the company by completing all mandatory compliance training.
• The ability to maintain friendly, cordial relations with all employees.
• The ability to build and maintain confidence and credibility with all employees.
• The ability to maintain friendly, cordial relations with all clients and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with customers, co-workers and managers.
• The ability to perform the physical, use of senses, cognitive, and environmental functions of the position, as specified on the physical demands.
• Ability to comply with Company standards of operations.
• Ability to adhere to the Core Values of the Company, of teamwork, communication, empowerment, quality of care, and friendliness.

Education:

• High School Diploma or its equivalent

• Minimum of five (5) years of experience with healthcare finance and/or contract management with payors preferred.
• Clinical experience will be applied to this requirement as well.

• Knowledge of key issues related to Medicare, Medicaid, and private insurance.
• Strong organizational skills, including the ability to manage multiple tasks at once, respond to tight timelines, pay attention to detail, and operate effectively in a fast-paced environment.
• Have excellent relationship management skills.
• Works with diverse personalities and effectively interacts with individuals at all levels of the organization.
• Understands and effectively communicates to broad and different audiences.
• Ability to work independently and to prioritize work assignments.
• Demonstrates excellent writing and grammar skills.
• Extensive experience with Microsoft Excel, Microsoft Access, and Microsoft Word.