Senior Payor Relations Manager in Nashville, TN for Vanderbilt Health

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Senior Payor Relations Manager

Description Senior Payor Relations Manager JOB SUMMARY: Identifies internal processes/procedures required to facilitate managed care activities regarding pre-certification/utilization review, patient registration/insurance verification, billing, independently. Resolves claim payment and operational issues occurring with managed care contracts. KEY RESPONSIBILITIES: Coordinates payor specific operations meeting, both ad hoc and regularly scheduled with high volume payors. Maintains database to track and manage operational issues by payor. Identifies and discusses concerns or trends with Managed Care teams and payors to improve related operational process and

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