Payer Specialist
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Payer Specialist managing healthcare billing, claims, denials, and payer relations for Ivy Health. Supporting accurate reimbursement and resolving insurance-related issues remotely.
Responsibilities:
- Ensure timely billing for all payers within region, including secondary billing
- Maintain accurate notes and communication in the patient’s ledger/chart
- Ensure accuracy of insurance information and verification, working with PC if discrepancies arise
- Collaborate with all parties to maintain denial prevention methods
- Follow up on Accounts Receivable by insurance, collecting required information to have claims processed or appealed
- Communicate directly with payers via phone, email, or other necessary means
- Manage third-party vendor to successfully have claims paid
- Research, set up, prepare, and test new payer information regarding contract details, reimbursement terms, claim form requirements, billing and collections requirements, and timely filing requirements
- Track and resolve discrepancies based on partial payments and contracts
- Assist PCs and patients with billing-related questions
- Work one-on-one with users in all areas of the company to resolve issues
- Prepare reports as needed
- Perform other duties as assigned
Requirements:
- A high school diploma or GED equivalent required
- A minimum of three years’ experience in all facets of healthcare payer environment
- Computer skills using Microsoft Outlook, Word, Excel and Access
- Excellent oral communication skills and phone presence
- Understanding of quality customer service
- Demonstrated ability to prioritize tasks and work with a sense of urgency
- Experience with a variety of EMR systems
- Raintree experience is a plus
Benefits:
- Eligibility for full benefits package beginning within your first month of employment
- Generous PTO (Paid Time Off) plans
- Paid holidays
Similar Jobs
Senior ML Specialist
Senior ML Specialist building and evaluating agentic AI for Sciene, empowering Quartile’s retail media optimization platform. Owning model strategy, evaluation, fine-tuning, and production operations.
Técnico de Campo Senior
Técnico de campo instalando, reparando y manteniendo hardware y software de Diebold Nixdorf. Resolución de incidencias y formación de clientes en sus instalaciones.
Technical Services Specialist
Technical Services Specialist leading integrations, data solutions, and automation for Absorb’s AI-driven learning platform. Managing client projects, APIs, SSO, CRM/HRIS connections, and analytics.
Technical Services Specialist
Technical Services Specialist leading client integrations, data solutions, and automation for Absorb’s AI-driven learning platform. Mentoring teammates and improving technical service delivery.
Special Processing Specialist II
Special Processing Specialist II managing complex benefits processing, compliance, and member services for Businessolver’s HR technology platform. Handling appeals, claims, eligibility updates, and escalations.
Service Relationship Specialist
Service Relationship Specialist supporting Manulife’s corporate Group Benefits clients. Advising partners, resolving complex service issues, and delivering client presentations and training.
Senior Specialist, Epic Solution Delivery
Epic Solution Delivery Specialist supporting complex Epic configurations and implementations for Interwell Health’s kidney-care management programs. Mentoring analysts and partnering with stakeholders on healthcare system enhancements.
Generalist
Generalist reviewing domain-specific documents and providing structured feedback. Helping Mercor’s AI lab and enterprise partners train and enhance frontier AI systems.
Candidate Experience Specialist
Candidate Experience Specialist coordinating interviews, candidate communications, and hiring workflows for GitLab’s DevSecOps platform. Supporting recruiters and People Operations in an all-remote global organization.
Senior Donation Coordinator
Senior Donation Coordinator evaluating tissue donors and supporting families for Live On Nebraska. Leading training, quality assurance, and process improvement across donation services.
Regional Project Lead
Solva Regional Project Lead delivering end-to-end manufacturing improvement projects for Seco, a global metal cutting and machining solutions provider. Coordinating technical teams, partners, and customers across South Europe.
Regional Project Lead
Regional project lead delivering Seco’s sustainable manufacturing solutions across Southern Europe. Coordinating complex customer projects, technical teams, partners, and measurable manufacturing improvements.
Title Specialist
Title Specialist creating property maps and processing title documents for First American’s India operations. Supporting title production through mapping, scanning, document collation, and post-production data aggregation.
Home Care Worker
Home Care Worker supporting aged clients with household tasks, meals, transport, and social care. Joining Silverchain, an Australian not-for-profit home care provider.
Hmong Language Specialist
Hmong medical interpreter enabling patient-provider communication for INTELEX, a global language services and outsourcing provider. Delivering accurate simultaneous and consecutive interpretation in medical settings.
Hmong Language Specialist
Remote Hmong-English medical interpreter providing accurate patient-provider communication. Supporting simultaneous, consecutive, legal, and medical interpretation for INTELEX.
Hmong Language Specialist
Hmong medical interpreter enabling accurate patient-provider communication for INTELEX, a global language services provider. Delivering simultaneous and consecutive interpretation in medical settings.
Online Casino Specialist – Games Roadmap, Lobby Management
Online Casino Specialist shaping B2Spin’s online casino games roadmap and lobby experience. Using portfolio data to optimise engagement, retention, revenue, and content launches.
Waking Night Support Worker
Waking Night Support Worker providing overnight safety, reassurance and person-centred care for A Class Care’s vulnerable clients. Completing welfare checks, records and emergency responses across Northamptonshire.
Arabic Text Quality Inspection
Saudi Arabic text quality inspector reviewing language accuracy for CrowdGen’s AI projects. Identifying grammar, semantic, formatting, and naturalness issues in Arabic text.