Payor Management posted about ago Falck Internal

Lead
- Insurance Relations, Payor Management

Revenue Cycle Management

Revenue Cycle Management

Exempt

Full-time

Help patients behind the scenes – no blood, no needles, just smart support

At Falck US, Revenue Cycle Management is how we help real people after some of the most stressful moments in their lives. In our EMS RCM environment, strong payer relationships are essential because they directly influence revenue, cash flow, and collection outcomes, while also helping to create a smoother, more supportive experience for our patients.

As a Payor Management Lead in Revenue Cycle Management, your focus will be on keeping payer enrollment, portal access, and electronic billing processes accurate and current. You will help the business understand what is needed to keep payor connections working smoothly, where delays or issues may be building, and what actions are needed next across enrollments, updates, and requests. Your work will help support better reimbursement, cash flow, and overall revenue cycle performance, in line with Falck’s RCM approach of helping payors, operations, and internal teams do the right thing.

In a fast-moving EMS RCM environment, this work helps protect revenue, reduce administrative friction, and keep our teams focused on delivering care and supporting the people who depend on us.

The Payor Management Lead supports Revenue Cycle Management by ensuring payer enrollments, portal access, electronic billing setup, and related payor processes are completed accurately and on time. This role helps keep revenue cycle operations running smoothly by reducing delays, supporting reimbursement, and maintaining strong compliance and payer connectivity.

A key part of the role is to serve as a reliable point of contact for payor-related requests, research new opportunities, and stay current on payer updates and requirements. This supports a more organized, responsive, and efficient RCM function, which is essential to protecting cash flow and collection outcomes.

• Manage payer enrollments, including Medicaid, Medicare, EFT/ERA, ACH, and EDI.
• Serve as the administrator for payer and provider portals, including access, updates, security, and maintenance.
• Complete scheduled enrollment activities and respond to ad hoc payer and operational requests in a timely manner.
• Maintain user reports, enrollment records, tracking logs, and supporting documentation.
• Research new payer opportunities, tools, and vendor requirements.
• Communicate with payors, vendors, and internal teams to resolve enrollment and portal issues.
• Support related RCM operational needs, including cash support, EOB research, unclaimed property, charge updates, and closing activities.
• Identify process improvements and escape issues as needed.
• Perform other duties as assigned to support Falck’s relationships with payors and operational partners.

• Strong attention to detail and accuracy.
• Experience in healthcare, revenue cycle, payer enrollment, provider portals, or related insurance operations.
• The ability to work independently, stay organized, and manage multiple priorities.
• Strong research and problem-solving skills.
• A collaborative mindset and the ability to work well with payors, vendors, and internal teams.
• A forward-thinking approach and the ability to identify opportunities for process improvement.
• A mindset focused on closing the gap between payor processes and provider needs to help support the patient experience.
• Comfort working with spreadsheets, tracking tools, and internal systems.
• A professional, dependable, and self-motivated approach to daily work.

• Full-Time Benefits (Medical, Dental, Vision, Life)
• 401(k) with company…