Why You Will Love Working With Us!
Odyssey Behavioral Healthcare believes that each person deserves the opportunity to embark on a new journey to reach their optimal level of health. Odyssey’s network of behavioral healthcare services provides support to individuals throughout their journey by combining compassionate, evidence-based treatment with concierge-quality amenities.
What we offer:
- Collaborative environment dedicated to clinical excellence
- Multiple Career Development Pathways
- Company Supported Continuing Education & Certification
- Multiple Health Plan Design Options Available
- Flexible Dental & Vision Plan Options
- 100% Company Paid EAP Emotional Well-Being Support
- 100% Company Paid Critical Illness (with health enrollment plan)
- 100% Company Paid Life & ADD
- 401K with Company Match
- Company-Sponsored HSA, FSA, & DSA Tax Savings Accounts
- Generous Team Member Referral Program
- Parental Leave
How You Will Contribute/Position Summary
The Manager of Payer Enrollment & Administration centralizes responsibility for facility enrollment, directory management, contract administration, and revenue cycle escalation support. Ensure consistent internal management of payer-facing operational processes, improves contract and enrollment visibility, and supports revenue cycle performance through coordinated payer engagement.
Essential Responsibilities
- Serves as the central coordinator for facility enrollment with managed care organizations across all locations.
- Manages enrollment for new facilities and market expansion initiatives.
- Coordinates re-enrollment or renegotiation cycles.
- Facilitates completion of enrollment documentation with internal stakeholders.
- Maintains communication with payers regarding enrollment status and requirements.
- Maintains accurate and compliant payer directories.
- Conducts routine payer directory audits across all contracted plans.
- Identifies and resolves discrepancies, enhancing referral identification.
- Facilitates the completion and record keeping of all required directory attestations.
- Coordinates with payers to make directory corrections, ensuring accurate network access information is readily available to prospective clients and referral sources.
- Develops and maintains internal infrastructure for managing facility enrollment and credentialing information in a reportable, scalable, and transparent manner.
- Maintains facility enrollment data in a structured, accessible, scalable, and reportable format.
- Organizes and manages supporting documentation for centralized retrieval.
- Maintains NPPES profiles for all facilities.
- Establishes standardized processes for document management and reporting.
- Provides operational support for contract administration, management, and documentation; improving internal organization and visibility to contract terms and rates.
- Maintains the payer contract database with a high level of accuracy.
- Loads new contracts, amendments, and rate renewals; archives historic data for future retrieval, if needed.
- Supports internal reporting requests related to contracts and rates, as needed and requested.
- Assists with the resolution of complex payer-related revenue cycle issues; improving collections and reducing leakage through proactive management of payer disputes.
- Facilitates resolution of high-dollar, high-volume, and/or high-profile claims issues.
- Engages payers to address previously denied claims and pursue payment resolutions.
- Coordinates with finance leadership, CFOs, and revenue cycle teams to gather supporting documentation.
- Maintains the RCM issue tracking database for finance leadership visibility.
- Escalates matters requiring legal review to the VP of Payor Relations & Reimbursement.