Emily Achor Email & Phone Number

Serves as a key contributor of the internal team to assess, develop and support value / performance based contract initiatives and opportunities in an effort to advance quality and affordability initiatives between Children’s and payers. Manages planning, negotiating, and administration of value / performance based contracts on behalf of Children’s. Acts as a liaison with internal stakeholders, payers, networks, insurers, and employer coalitions to resolve escalated issues and risks related to… Show more Serves as a key contributor of the internal team to assess, develop and support value / performance based contract initiatives and opportunities in an effort to advance quality and affordability initiatives between Children’s and payers. Manages planning, negotiating, and administration of value / performance based contracts on behalf of Children’s. Acts as a liaison with internal stakeholders, payers, networks, insurers, and employer coalitions to resolve escalated issues and risks related to audits, reimbursement and payer requirements. Actively supports the execution of strategic initiatives, process redesign, root cause analysis, and metric and report development. Show less

West Allis, Wi

Acts as a liaison with internal stakeholders, payers, networks, insurers, employer coalitions and independent physician associations to identify/resolve issues and risks related to reimbursement and payer requirements. Responsible for driving maximum reimbursement primarily by partnering with operational leaders to minimize underpayments and denials. This includes the responsibility of actively supporting the execution of strategic initiatives, process redesign, root cause analysis, and metric… Show more Acts as a liaison with internal stakeholders, payers, networks, insurers, employer coalitions and independent physician associations to identify/resolve issues and risks related to reimbursement and payer requirements. Responsible for driving maximum reimbursement primarily by partnering with operational leaders to minimize underpayments and denials. This includes the responsibility of actively supporting the execution of strategic initiatives, process redesign, root cause analysis, and metric and report development. Manages the processes for engaging with payers regarding reimbursement disputes. Show less

West Allis, Wi

Oversaw the activities of the Central Scheduling department including department staffing, quality assurance, automated time and attendance, and coaching and development of staff. Wrote and contributed to policies and procedures to aid in Epic optimization and organization-wide process improvement efforts. Developed tools to aid in productivity measures and analytics.

Wauwatosa, Wi

Leveraged knowledge of attorney settlements, insurance plans and denials, and debtor asset recognition to identify potential viable payers and subsequently collect bad debt balances.

South Milwaukee, Wi

Master'S Degree, Medical Informatics, 4.0

The HCI Program is designed to meet the demand for highly trained health care informatics professionals by drawing on the experience.

Bachelor'S Degree, Spanish Language And Literature, 3.5

Bachelor'S Degree, Business Administration And Management, General, 3.5