• Director of Payor Relations and Medical Billing

    Job Location US-MD-Silver Springs
    Posted Date 5 days ago(1/13/2020 8:50 PM)
    Job ID
    8312
    Full-Time / Part-Time
    Full-Time
    Regular / Temporary
    Regular
  • Overview

    The 5,600 educators and healthcare professionals employed by Catapult Learning are driven by a common purpose: to positively impact the educational, behavioral and social-emotional welfare of every child with whom we engage, no matter the child’s individual circumstance. We dedicate our careers to improving outcomes for at-risk and struggling youth, including those with learning and emotional disabilities. In doing so, we play a truly crucial role in the lives of the children, their families and their communities. Our purpose drives performance and we are looking for individuals who want to make an impact.

    Little Leaves, a division of Catapult Learning, is a center-based Applied Behavior Analysis (ABA) program for young children with an Autism Spectrum Disorder, run in a preschool-like setting. It is designed for children up to age 6 who have been recommended for intensive ABA services. Each client works one-on-one with a trained behavior technician on individualized goals with a focus on social communication, social interactions, and school readiness skills.

    Little Leaves is looking for a Director of Payor Relations & Medical Billing to join our growing team. This position will be responsible for contracting, credentialing, and relationship management between Little Leaves and its various payor constituencies. This includes maintenance of existing contracts as well as identification of new contracting opportunities in order to achieve growth targets.

    Responsibilities

    • Manage, lead, and develop Billing Team

    • Analyze fee schedules and re-negotiate financial contracts with insurance companies and other third-party payors as needed

    • Monitor contract performance regarding financial performance and payment integrity

    • Ensure providers are credentialed, appointed, and privileged with health plans

    • Maintain contracting to ensure adherence to key contract dates / timelines related to contract requirements, adjustments, and / or renewals

    • Develop process and procedures, as well as operational KPIs as needed

    Qualifications

    Position Requirements:

    • Knowledge of Autism with Autism-related experience is preferred

    • Experience utilizing Central Reach billing system

    • Minimum 3 years of experience in payor contracting or a related area

    • Understanding of healthcare networks

    • Proficient in MS Office suite

    Specialized Skills:

    • Ability to self-motivate and work independently, as well as on a team
    • Possess sharp critical thinking skills

    • Ability to be agile and think with a start up mentality

    • Ability to multi-task and manage multiple projects

    • Highly organized and detail oriented

    • High level of professionalism

    • Ability to communicate with internal staff, senior management, and external entities

    • Ability to meet strict deadlines

     

    Education:

    • Preferred Bachelor’s Degree in Health Care Administration or another applicable field

    • Master’s degree a plus, but not required

     

    Candidates can submit resumes to stephanie.waite@catapultlearning.com

     

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    About Catapult Learning:

    Catapult Learning, Inc. provides education and behavioral health solutions for children and their families, leading to better life outcomes, regardless of the learning obstacles and other challenges they face. The company’s team of over 5,600 education and healthcare professionals work to achieve measurable and sustained academic and behavioral gains through evidence-based programs that include special education, Applied Behavior Analysis (ABA) therapies, intervention services, and professional development. Founded in 1976 and headquartered in Camden, New Jersey, Catapult Learning supports more than 200,000 children nationwide and over 25,000 teachers globally. Catapult Learning is accredited by AdvancED and the Behavioral Health Center of Excellence. www.catapultlearning.com

     

     

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