No matter your mobility and accessibility needs, NSM is here to provide you with 360-degree Complete Mobility Solutions.
Payer Profile Specialist
Location
United States
Posted
11 days ago
Salary
0
Seniority
Mid Level
Job Description
Payer Profile Specialist
National Seating & Mobility
Role Description The Payer Profile Specialist is primarily responsible for maintaining the accuracy of the company’s Universal Payer Database, which tracks essential payer-specific information to support funding, billing, and collection departments. This role manages payer web portal access, supports management projects, and serves as a central point of contact for cross-functional teams to resolve database and access requests with speed and precision. This position reports directly to the Payer Relations Manager. Duties and Responsibilities / Essential Functions - Lead the research, setup, and testing of new payer data, including reimbursement terms, claim requirements, and filing deadlines, within the Universal Payer Database. - Partner with internal users across the organization to troubleshoot and resolve payer data issues efficiently. - Communicate directly with insurance payers via phone and email to verify, clarify, and update contract information. - Audit and maintain the accuracy of information on the company intranet and securely manage user access for various payer web portals. - Maintain a professional workspace and adhere to regular, predictable attendance standards to support high-volume operations. Work Environment This role operates in a professional corporate office or an approved, secure, and HIPAA-compliant home office. The position routinely requires the use of standard digital office equipment and productivity tools. Physical Demands - Remaining in a stationary position at a desk for prolonged periods, with the flexibility to sit or stand. - Constantly operating a computer, keyboard, and other standard digital office productivity tools. - Constantly viewing a computer terminal to read, analyze, and process high volumes of information for extended periods. - Frequently communicating and exchanging accurate information with internal stakeholders, business partners, clients, and employees. Qualifications - High School Diploma or equivalent required. - A 2-year degree in Business or Healthcare Administration is preferred. - 1–2 years of medical office experience required. - Direct experience with Durable Medical Equipment (DME), documentation requirements, insurance policy guidelines, and medical billing is highly preferred. - Professional certifications in Microsoft Office or Adobe Acrobat are preferred. - Solid understanding of medical terminology, including modifiers, allowables, Remittance Advice (RA), and Coordination of Benefits (COB). - Written and verbal communication skills required for professional correspondence with payers and internal teams. Company Description At all levels, working at National Seating & Mobility provides the opportunity to directly impact our client’s lives by giving them self-reliance and independence. Our teams are comprised of passionate individuals, dedicated to providing the best care to each client. We focus on abilities by leveraging technology and creating mobility solutions that are as unique as our client’s needs.
Related Guides
Related Categories
Related Job Pages
More Threat Intelligence Specialist Jobs
Retirement Education Specialist
Principal Financial GroupPrincipal Financial Group offers retirement, asset management, investment, and insurance solutions for individuals and businesses around the world. Since its fo
Role Description Are you passionate about helping individuals achieve financial security and live their best lives? As a Retirement Education Specialist, you’ll play a critical role in empowering retirement plan participants to make confident financial decisions. You’ll deliver engaging education, provide personalized guidance, and partner with employers and advisors to drive meaningful outcomes. - Deliver group workshops and one-on-one consultations (virtual and in person) - Partner with plan sponsors, advisors, and internal teams to design and deliver effective retirement education strategies - Develop and implement education plans that increase engagement and participation in retirement programs - Conduct needs assessments to guide participants in making informed decisions about saving, investing, and retirement income - Adapt messaging based on audience needs - Leverage tools and insights to improve participant outcomes Qualifications - Bachelor's degree or equivalent - 2+ years of experience or more in the financial services industry with experience in personal markets, retirement planning, and educating participants - Ability to travel approximately 75% of the time (local, regional, or national with mostly day travel but some overnight travel) - Licensing will be required based on state/federal laws and/or company policy in accordance with current licensing policy. The below licenses are required within 5 months of employment, however a licensed individual is preferred: - FINRA Series 7 and 63/66 (Consideration would be given to existing FINRA Series 6 and 63 candidates) Requirements - Excellent communication, presentation, analytical, and interpersonal skills - Successful history of accomplishments in education, retirement sales, or a related field - Ability to work both independently and collaboratively - Presentation skills, including but not limited to; large group and one-on-one delivery, engaging audiences, and the ability to read the room and pivot when necessary Benefits - Salary Range: $55,800 - $100,800 / year - Flexible Time Off (FTO) for salaried (exempt) employees - Pension Eligible: Yes Company Description Operating at the intersection of financial services and technology, Principal builds financial tools that help our customers live better lives. We take pride in being a purpose-led firm, motivated by our mission to make financial security accessible to all. Our mission, integrity, and customer focus have made us a trusted leader for more than 140 years!
• Event Structure and Governance: Design, map, and maintain the product event architecture (tracking plan), ensuring consistency, reliability, and governance of behavioral data. • User Lifecycle Analysis: Conduct exploratory and diagnostic analyses focused on conversion funnels, engagement, new feature usage behavior, activation, and retention (cohorts). • Dashboard Creation: Build and maintain automated dashboards and performance reports to provide clear, reliable visibility into product metrics. • Data Integration: Combine event and navigation data with business information such as plans, segments, account age, churn, and revenue (SaaS metrics). • Strategic Collaboration: Work collaboratively with Product teams (PMs), Design (UX/UI), Engineering, and leadership to prioritize problems and identify opportunities to improve the customer journey. • Data Culture: Support the evolution from a fragmented or reactive analytics culture to a model focused on diagnostic and predictive analyses and experimentation.
Oracle EBS OTC Specialist
RevnaModelo de contratação: Part time Duração inicial de 6 meses Alta possibilidade de extensão conforme performance
Role Description Estamos em busca de um(a) Especialista Oracle EBS OTC para atuação em projeto estratégico! Buscamos profissionais com sólida experiência nos módulos Oracle EBS OTC, com foco em QA (Advanced Pricing), Order Management e AR/Billing, para atuar em ambiente global e de alta complexidade. Posição: Especialista Oracle EBS OTC Modelo: 100% Remoto Inglês: Fluente (imprescindível) Qualifications - Experiência sólida em Oracle EBS OTC - Conhecimento avançado em: - QA (Advanced Pricing) - OM (Order Management) - AR/Billing - Vivência em suporte, implementação ou sustentação de ambientes Oracle EBS - Experiência com integrações e processos de Order to Cash - Boa comunicação e perfil consultivo - Inglês fluente para atuação em ambiente internacional Company Description
Role Description The Inventory Purchasing Specialist is responsible for managing and optimizing the organization's inventory procurement processes, ensuring efficient and cost-effective acquisition of materials and supplies. Qualifications - 2-4 years of experience in inventory purchasing, procurement, or similar role - Proven track record of effective vendor management - Experience with inventory management software Requirements - Advanced proficiency in Microsoft Excel and inventory management systems - Strong analytical and problem-solving skills - Excellent communication and negotiation abilities - Attention to detail and accuracy - Ability to work independently and as part of a team - Inventory management software - Enterprise Resource Planning (ERP) systems - Procurement databases - Data analysis tools - Purchase order processing systems - Sedentary work with occasional walking and standing - Ability to lift up to 20 pounds occasionally - Comfortable working in an office environment - Proficient with computer and office technology Benefits - Competitive salary based on experience - Comprehensive benefits package - Potential performance bonuses - Professional development opportunities Working Conditions - Standard office environment - Occasional travel may be required for vendor meetings or procurement conferences - Regular working hours with potential flexibility - Remote work options may be available Key Performance Indicators - Cost savings achieved through strategic purchasing - Vendor performance and relationship management - Inventory turnover rates - Purchase order accuracy - Supplier lead time reduction Personal Attributes - Proactive and self-motivated - Strong ethics and integrity - Adaptable to changing business needs - Customer and vendor-oriented approach - Continuous learning mindset
