Tal Healthcare
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USD
110000
115000
YEAR
true
Payor Manager/ Commercial Healthcare Insurance
555 Broadway
Tarrytown,
NY
10467
US
2025-06-09
2025-08-19
Department: Revenue
Job Number: 6709
Pay Rate: $110000-115000
Employment Type: Full Time
Job Description
Our client a leading academic medical center has an opening for a Payor Manager / Commercial Healthcare Insurance. The manager oversees all the functions of the output and quality of all payer accounts receivable under their scope and collaborates with the Director of Revenue Realization to identify strategies for performance improvement on a monthly as well as yearly basis. The manager is also responsible for maximizing cash flow while maintaining and improving internal and external customer relations. In conjunction with other duties, the Payor Manager will contribute to the day-to-day operations on all issues related to the revenue cycle functions, provide analysis, create written processes and train others in implementing a cross-functional revenue team. The Payor Manager will also work interdependently with other departments to create reports regularly, and complete other duties as assigned. The Payer Manager is ultimately responsible for much of the financial health as the staff they supervise, and their associated functions play a large role in reimbursement and cash flow.
Responsibilities:
- Manage the Revenue associates in various duties, such as account management, communications with insurance providers, collections, adhere to payor guidelines, daily accounts receivable monitoring for payors who are trending low, and contract analysis.
- Managing staff performance by providing regular feedback, performance reviews, and one-on-one meetings.
- Reviewing financial hardship applications.
- Overseeing the on-boarding and training of staff.
- Efficiently managing customer needs in respect of billing and collections.
- Planning and structuring the department workflow and staffing.
- Manages the revenue team operations including all aspects of follow-up, payor communications, underpayment, denials, collections, and payment.
- Responsibilities include work allocation, training, and problem resolution; evaluating performance and making recommendations for action; motivating employees to achieve peak productivity and performance.
- Serves as the resident expert and "go to" person for all accounts receivable, denials and collections processes.
- Develops, reviews, and enhances operating policies and procedures to improve quality and efficiency.
- Analyzes actionable claims data, including revenue and volume, by service line, and payor.
- Ensures compliance with collections and billing regulations, relevant healthcare regulations and data privacy issues (e.g., HIPAA).
- Coordinates team members paid time off (PTO) in a manner that does not negatively impact necessary daily functions.
Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.
#LI-FP1
Prepares and reviews periodic reports of performance metrics with the Revenue Director.
Meet Your Recruiter
Fran Philips
Vice President, Healthcare Recruitment
Fran is a seasoned recruiter who joined Tal in 2008, after a long career in medical billing for multi-specialty practices including dermatology, dental, and ophthalmology.
Learn more about Fran, Tal Healthcare Employee Biography
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Payor Manager/ Commercial Healthcare Insurance
555 Broadway Tarrytown, NY 10467 US
Job Description
Responsibilities:
- Manage the Revenue associates in various duties, such as account management, communications with insurance providers, collections, adhere to payor guidelines, daily accounts receivable monitoring for payors who are trending low, and contract analysis.
- Managing staff performance by providing regular feedback, performance reviews, and one-on-one meetings.
- Reviewing financial hardship applications.
- Overseeing the on-boarding and training of staff.
- Efficiently managing customer needs in respect of billing and collections.
- Planning and structuring the department workflow and staffing.
- Manages the revenue team operations including all aspects of follow-up, payor communications, underpayment, denials, collections, and payment.
- Responsibilities include work allocation, training, and problem resolution; evaluating performance and making recommendations for action; motivating employees to achieve peak productivity and performance.
- Serves as the resident expert and "go to" person for all accounts receivable, denials and collections processes.
- Develops, reviews, and enhances operating policies and procedures to improve quality and efficiency.
- Analyzes actionable claims data, including revenue and volume, by service line, and payor.
- Ensures compliance with collections and billing regulations, relevant healthcare regulations and data privacy issues (e.g., HIPAA).
- Coordinates team members paid time off (PTO) in a manner that does not negatively impact necessary daily functions.
#LI-FP1
Prepares and reviews periodic reports of performance metrics with the Revenue Director.
Meet Your Recruiter
Fran Philips
Vice President, Healthcare Recruitment
Fran is a seasoned recruiter who joined Tal in 2008, after a long career in medical billing for multi-specialty practices including dermatology, dental, and ophthalmology.
Learn more about Fran, Tal Healthcare Employee Biography