Payer Provider Engagment Anlayst

Overview

This is a hybrid role that is open to candidates working from Oregon or Washington. Team members typically work 2-3 days per week onsite at a Legacy Health location, with the remainder of the workweek completed from a virtual location (in Oregon or Washington). All new hires are required to travel to a Legacy Health office in Portland, Oregon prior to their start date to complete a new hire health assessment and new hire paperwork. Initial training and orientation may be conducted on-site before transitioning to the hybrid schedule. 

Responsibilities

Every member of the Legacy community fulfills a purpose that drives our success as a compassionate and caring hospital. If you’re ready to share your skills with our supportive community, please consider this opportunity.

• The Payer Provider Engagement Analyst serves as a liaison between the organization and its payers.
• This role is responsible for compiling payer data, understanding health plan requirements around billing, documentation, authorization, processes, policy changes, and more, and educates Legacy Health staff about these requirements.
• This role is also responsible for analyzing trends around payer denials and outstanding A/R, and working with internal departments, as well as external payers, to resolve identified issues.

Qualifications

Education:

• Bachelor’s Degree in Business, Healthcare Administration, Information Systems, Computer Science or equivalent degree OR equivalent experience.
• Master’s degree preferred.

Experience:

• Five years of experience in healthcare billing, follow-up, or denials management required.
• Minimum of three years’ experience in payer contracting or payer relations management required.
• Prior hospital or health care experience with emphasis on workflow and procedures, operations management, financial management and reimbursement issues required.
• Quality Assurance, project management, and leadership experience required.

Skills:

• Ability to promote/support management with payer relations, A/R management, and insurance plan requirements.
• Development and maintenance of reports by payer and plan level detail (e.g. Trends, action plans).
• Must have in-depth knowledge of payer requirements.
• Strong analytical skills and experience with various analytic and reporting solutions.
• Strong interpersonal skills, including excellent written and verbal communications.
• Ability to effectively communicate with various levels of staff, both internally and externally.
• Strong understanding of healthcare billing, follow-up, and denials management processes and systems.

Pay Range

Our Commitment to Health and Equal Opportunity

Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.

If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.

Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.

To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you