Payor Relations Administrator
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Job Description
Payor Relations Administrator at Millennium Health managing enrollment processes with payors and ensuring revenue integrity. Requires strong organizational skills and communication in a remote workplace.
Responsibilities:
- Works alongside market access and the revenue cycle management team.
- Responsible for completing payor applications of interest, credentialing, revalidations, and enrollments with contracted and non-contracted payors.
- Ensure no impacts to revenue based on unfulfilled payor enrollment requests.
- Accountable for processes that promote department efficiency and present revenue opportunities.
- Build rapport with payors and team members.
- Communicate clearly both verbally and in writing.
- Self-starter requiring minimal direction and supervision, open to new ideas, and flexible in a remote setting.
- Set and maintain multiple priorities while meeting strict deadlines and turnaround time.
- Identify, complete, and communicate payor’s procedures in relation to enrollment.
- Support compliance initiatives through monitoring payors and working with the leadership team.
- Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations and compliance in relation to billing, collections, and release of information.
Requirements:
- High School Diploma or GED minimum requirement
- Associate's degree or higher highly preferred
- Insurance basics, PPO, HMO, POS, Capitation, Workers Comp, Mva
- Government programs such as Medicare, Medicare HMO, Medicaid, Medicaid HMO, Tricare, Veterans Affairs, Blue Cross Blue Shield Federal
- Certificate or degree in Health Care Management Field strongly recommended.
- Minimum 1 year billing experience desired
- Excel, create and maintain spreadsheets.
- Word.
- Proficient in 10 key.
- Exceptional Customer Service.
- Ability to communicate clear and concise information.
- Typing speed of 40 wpm
Benefits:
- Medical, Dental, Vision, Disability Insurance
- 401 (k) with Company Match
- Paid Time off and Holidays
- Tuition Assistance
- Behavioral and Health Care Resources
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