Senior Payer Relations Specialist
Virtual Vocations Inc, New York, NY, United States
A company is looking for a Senior Payer Relations Specialist who will manage payor follow-up and appeals of denied claims to increase collections from insurance companies.
Key Responsibilities
Resolve reimbursement issues by communicating with payors and internal stakeholders Collaborate with the Market Access team to support revenue growth and manage billing processes Analyze claims data and stay updated on payor policies to ensure accurate reimbursement
Required Qualifications
5-7+ years of experience in billing, coding, and reimbursement in the CLIA laboratory services sector Strong knowledge of Medicare, Medicaid, and private insurance reimbursement processes Proficient in CMS guidelines and medical billing practices Ability to work independently and prioritize tasks in a fast-paced environment Strong computer skills, including proficiency in Microsoft Office and healthcare billing software
Resolve reimbursement issues by communicating with payors and internal stakeholders Collaborate with the Market Access team to support revenue growth and manage billing processes Analyze claims data and stay updated on payor policies to ensure accurate reimbursement
Required Qualifications
5-7+ years of experience in billing, coding, and reimbursement in the CLIA laboratory services sector Strong knowledge of Medicare, Medicaid, and private insurance reimbursement processes Proficient in CMS guidelines and medical billing practices Ability to work independently and prioritize tasks in a fast-paced environment Strong computer skills, including proficiency in Microsoft Office and healthcare billing software