Senior Payer Relations – Revenue Compliance & Recovery Specialist

About the role

This position advances payment compliance to a fully integrated enterprise model within a leading health network. The specialist uses subject‑matter expertise and Epic technology to build scalable processes, maintain payer relationships, and ensure system‑wide contract compliance.

Key responsibilities

• Compare actual reimbursement to expected amounts across the enterprise and reconcile underpaid accounts.
• Develop and support system‑wide payment compliance workflows and methodologies.
• Build and maintain relationships with payer representatives to ensure transparency and issue resolution.
• Partner with Revenue Cycle, Utilization Management, and operational leaders to identify and address payer‑related A/R trends.
• Monitor, interpret, and analyze payer policy changes and emerging regulations, collaborating with data analytics and clinical teams.

Required profile

• Bachelor’s degree with at least 5 years progressive experience in billing, health insurance, physician practice, or equivalent.
• Expert knowledge of healthcare reimbursement, contracting, and revenue cycle processes.
• Strong analytical, negotiating, and collaborative abilities to uncover and recover payment discrepancies.

Required skills

• Epic (EMR) technology proficiency.
• Microsoft Excel.
• General computer skills, including word processing.