Medical Billing- Payer Strategy & Contracting Specialist
Ventra Health, Myrtle Point, OR, United States
Employer Industry: Healthcare Revenue Cycle Management
Why consider this job opportunity:
Eligible for performance-based incentive plan, rewarding great work
Opportunity to earn a referral bonus by helping grow the team
Collaborative and fast-paced work environment
Chance to work with diverse personalities and contribute to strategic initiatives
Comprehensive understanding of payer contracts and reimbursement methodologies
What to Expect (Job Responsibilities):
Conduct contract negotiation discussions on behalf of clients with payers
Assist in reviewing, interpreting, and maintaining payer contracts and fee schedules
Support negotiation preparation by compiling rate comparisons and reimbursement trends
Collaborate with finance and accounts receivable teams to ensure accurate billing
Participate in payer meetings to support strategic initiatives
What is Required (Qualifications):
High School Diploma or GED
Minimum of 2-4 years of medical billing and claims resolution experience
Strong understanding of payer contracts and healthcare compliance
Proficiency with Excel, payer portals, and contract management databases
Strong oral, written, and interpersonal communication skills
How to Stand Out (Preferred Qualifications):
AAHAM and/or HFMA certification
Experience with offshore engagement and collaboration
Familiarity with commercial and government payers in the US healthcare system
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
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Why consider this job opportunity:
Eligible for performance-based incentive plan, rewarding great work
Opportunity to earn a referral bonus by helping grow the team
Collaborative and fast-paced work environment
Chance to work with diverse personalities and contribute to strategic initiatives
Comprehensive understanding of payer contracts and reimbursement methodologies
What to Expect (Job Responsibilities):
Conduct contract negotiation discussions on behalf of clients with payers
Assist in reviewing, interpreting, and maintaining payer contracts and fee schedules
Support negotiation preparation by compiling rate comparisons and reimbursement trends
Collaborate with finance and accounts receivable teams to ensure accurate billing
Participate in payer meetings to support strategic initiatives
What is Required (Qualifications):
High School Diploma or GED
Minimum of 2-4 years of medical billing and claims resolution experience
Strong understanding of payer contracts and healthcare compliance
Proficiency with Excel, payer portals, and contract management databases
Strong oral, written, and interpersonal communication skills
How to Stand Out (Preferred Qualifications):
AAHAM and/or HFMA certification
Experience with offshore engagement and collaboration
Familiarity with commercial and government payers in the US healthcare system
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
#J-18808-Ljbffr