Payor Escalation Specialist

Job description

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work!: Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location: BHG Bronson Healthcare Group Title: Payor Escalation Specialist The Payor Escalation Specialist is responsible for leading and coordinating the resolution of complex, high impact payor issues that require formal escalation on behalf of the Managed Care Department. This position is accountable for managing payor disputes that extend beyond routine operational workflows, including systemic denials, reimbursement issues, audit disputes, access concerns, and violations of contractual obligations. The Payor Escalation Specialist serves as the primary point of escalation prior to involvement of management or executive leadership. This position works collaboratively within the Payor Defense Team and across the organization to assess escalation r...