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Payer Relations Generalist
Location
United States
Posted
2 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Payer Relations Generalist
National Seating & Mobility
Role Description The Payer Relations Generalist works as a Payer Relations team member. The payer relations team is a multidisciplinary group that is charged with contracting, credentialing, issue resolution and other payer processes. This is a position that requires solid analytical skills and sound judgment. Work under direct supervision of the Payer Relations Credentialing Manager. Duties and Responsibilities / Essential Functions - Answer incoming calls and address emails that come in directly to our National Accounts queues. - Work directly with users in all areas. - Assign all new referrals that come into the National Accounts queues to the appropriate branch location and coordinate the process to schedule initial evaluation. - Track and follow-up on referrals through established process and provide updates and required documentation to the key national payers. - Manage large amounts of incoming calls, faxes and emails. - Maintain company databases that track payer specific information which provides support to Funding, Billing and Collection teams. - Communicate directly with payers via phone, email or any other means necessary to perform daily work activities. - Identify areas of improvement within the scope of their function and work with Payer Relations leadership to document and implement change. - Work on projects as assigned by the Payer Relations leadership team. - Provide administrative support to the Payer Relations teams. - Assume other duties and responsibilities as assigned. 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 The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is regularly required to sit; use hands repetitively to operate standard office equipment. The employee is frequently required to reach with hands and arms. Qualifications - Highly organized detail oriented. - Critical thinking skills. - Ability to prioritize work as needed. - High School Diploma or equivalency certificate. - Working knowledge of Microsoft products (Word, Excel, Outlook, Adobe). - Strong oral and written communication skills. - Ability to work in team environment. - Must be able to manage multiple priorities in a fast-paced environment and exercise independent judgment on matters of significance.
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