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Healthcare Client Manager

Change healthcare – Lombard, Illinois



Knowledge of billing, coding, and reimbursement methods within health care, especially, commercial payers



Salary : $70000 - $80000  / YEAR

JOB REQUIREMENTS: Bachelor’s degree in related field, or equivalent experience 5+ years of experience in the health care industry (HMO, Group Health, Medicare, Medicaid, Commercial) with deep exposure to Payment Integrity 5+ years of experience in a client facing account management role in healthcare technology 5+ years of experience working in a matrixed and highly adaptive environment Knowledge of billing, coding, and reimbursement methods within health care, especially, commercial payers Retention of current clients, revenue and margins. Identification of business opportunities and expansion of business relationships (new business, upsells, increasing membership, etc.). Meet or exceed Account Management, Client, and Member Satisfaction Survey target. Demonstrated experience leading a 4-5 team serving top national payors of health claims Highly collaborative and consultative style with ability to establish credibility quickly with all levels of management across multiple functional areas Self-managed, self-starter with the ability to support multiple concurrent projects and meet tight delivery timelines Strong project management approach with excellent critical thinking and problem-solving skills Proficient at uncovering key issues and providing insightful, actionable recommendations for improvement. Exceptional presentation, communication and negotiation skills Strong computer skills: Excel, Word, PowerPoint DESIRED EXPERIENCE: Advanced degree in health care or medical field Maintains working knowledge of CMS rules and regulations and knowledge of procedure and diagnosis codes (CPT, ICD-9 / 10 coding, HCPCS and DRGs) Coding certification through AAPC or AHIMA   Strong data, analytics, and quantitative acumen Microsoft Visio experience  Knowledge of statistical methods used in the evaluation of healthcare claims data  Familiarity with processes of CPT, HCPCS, ICD-9, revenue codes and DRG, coverage and reimbursement. Familiarity with health insurance claim forms, including UB-04, CMS-1500, explanation of benefits, and prior authorization forms, and super bills charge tickets to troubleshoot cases where billing, claims submission or documentation errors may occur.

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