Manager, Provider Accounts

Lantern is the specialty care platform connecting people with the best care when they need it most. By curating a Network of Excellence comprised of the nation's top specialists for surgery, cancer care, infusions and more, Lantern delivers excellent care with significant cost savings to employers and their workforces. Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the entirety of their care journey, helping them get back to good health, back to their families and back to work. With convenient access to specialists nationwide, Lantern means quality care is within driving distance for most. Lantern is trusted by the nation's largest employers to deliver care to more than 6 million members across the country. Learn more about us at lanterncare.com. 

About You:

• You use LOGIC in your decision making and understand that progress is critical to making change. You focus on the execution of your content while balancing a fast-paced environment and you take the time to celebrate both the small & big wins. 
• INCLUSION is a core tenant of your personal beliefs. A diverse and inclusive environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with.
• You have the GRIT, drive and ambition to tackle big problems. Big problems require big ideas and a team that supports new ideas. 
• You care deeply for your customers are driven to keep HUMANITY in all decisions. Your customers aren’t just the individuals using your product. They are the driving factor in your motivation to make a change.
• Integrity guides you in life. Focusing on the TRUTH vs. giving people the answers they want to hear. 
• You thrive in a Team Environment. Collaboration is key in innovation and creating change.

These pillars of LIGHT are a reminder to our team that we are making a difference by providing guidance and support in navigating the often complex and confusing landscape of healthcare. We hope that through this LIGHT, individuals can find their way to the best care, resources, and support they need to get back to life. 

If this sounds like you, we would love to connect to speak further about career opportunities at Lantern.

Please apply to our role & someone from our Talent Acquisition Team will reach out to help you navigate our interview process.

Manager, Provider Accounts

As a Provider Account Manager is an advocate for Network Providers, one of Lantern’s most important customer groups. Provider Account Managers build strong, trusting relationships with Network Providers and act as a lead resource and principal point-of-contact.  Working closely with Practice Management, Scheduling, and Billing offices, the Account Manager is responsible for the proactive management of the claims, reimbursement, and support processes for the Network Provider relationship – as well as a full understanding of the practice’s revenue cycle. This includes a thorough understanding of systems, process and service specific requirements, and proactively identifying opportunities for improvement. 

Responsibilities Include: 

• Relationship Management: Drive regular meetings with your assigned practices to review current pipeline activity, identify issues for resolution, and report on key metrics. 
• Book-of-Business Expertise: Develop subject matter expertise on the Network Providers in your book of business. This role serves as the Lantern expert on contract and reimbursement terms, EMR and AR systems, billing practices, and points-of-contact at their practices.
• Proactive Monitoring: Monitor all aspects of the end-to-end reimbursement process for the accounts assigned to you, and assist staff with their work queue(s) when necessary. Your role is to ensure a smooth and timely reimbursement to your Network Providers, and you’re ready to roll up your sleeves when necessary.
• Issue Resolution: Coordinate with internal teams and external Network Providers when things don’t go according to plan. You’ll diagnose root causes, identify remediation plans, and work with all stakeholders to advocate for your practices best outcomes.
• Trend Analysis and Reporting: Review claims and support data to measure SLA and contract compliance, and report on trends and opportunities for improvement to your practices, your team, and senior leadership. 

Qualifications Include: 

• Education: Bachelor’s degree, preferably in Business Administration, Health Administration, Finance, or a related field.
• Experience: 5+ years in a professional healthcare setting, preferably with RCM and/or claims processing experience
• Skills:
  • Excellent oral and written communication skills with both internal and external stakeholders
  • Excellent analytical, problem-solving, and decision-making skills
  • Microsoft Excel ninja – SQL and Python skills preferred
  • Detailed knowledge of healthcare claims processing, managed care network management, and revenue cycle management
  • Medicare billing experience strongly preferred, or knowledge of Medicare billing rules 

 Benefits

Lantern does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.