This listing was posted on The Resumator.
Insurance Payer Specialist
Location:
Sunnyvale, CA
Description:
Job Title: Insurance Payer Specialist Position Type: Permanent, Full Time Location: Sunnyvale, California (Onsite 5 days) Salary Rate: $50,000 to $75,000 (USD) Job ID#: 139980 Job Summary: This position performs complete health insurance payer analysis with respect to medical billing and reimbursement functions and is responsible for all aspects of payer research, communicate and manage complex payer and industry changes that impact Client’s revenue cycle for Remote Patient monitoring, Chronic care management and Medical Nutrition Therapy services and its operations or strategies. Duties and Responsibilities: ● Perform health insurance payer analysis respect to medical billing and reimbursement functions ● Explore and update key healthcare industry payers trends at both macro and micro levels ● Define payer policies, coverages, pay rates for procedures, ● Build payer coverage dashboard with payer benefits and PFS rate ● Must be a gatekeeper of the payer research and knowledge gained ● Conduct payer coverage training for internal stakeholders and maintain adequate documentation of meeting ● Advancing payer relationships by keeping up to date with payer policy changes ● Engage in follow-ups with insurance companies and medical groups to address denials and payer coverage issues ● Update internal and external stakeholders with policy changes in a timely manner ● Annually updates insurance payment rates for each CPT/HCPCS code. ● Execute on the implementation of assigned projects or operational issue resolution ● Meet tight deadlines in a time sensitive and resource constrained project environment ● Follow and adhere to all regulations and guidelines set by Medicare, State programs, and HMO/PPO, etc. ● Engage in end-to-end revenue cycle management process, including Eligibility verification, Authorization, charge entry, claim submission (including 837's and 1500 forms), payment posting, and accounts receivable management and extract reports from billing software ● Understanding the EOB & ERA Skills: Communication, customer service, organizational, time management, health insurance payer analysis, process improvement, data analysis, privacy, databases, Payer, analyze, computer literacy, Google Docs, Sheets, Slides, Microsoft Office Suite, Word, PowerPoint, Outlook, ExcelIntelliPro, a global leader in connecting individuals with rewarding employment opportunities, is dedicated to understanding your career aspirations. As an Equal Opportunity Employer, IntelliPro values diversity and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or any other legally protected group status. Moreover, our Inclusivity Commitment emphasizes embracing candidates of all abilities and ensures that our hiring and interview processes accommodate the needs of all applicants. Learn more about our commitment to diversity and inclusivity at https://intelliprogroup.com/ .Compensation: The pay offered to a successful candidate will be determined by various factors, including education, work experience, location, job responsibilities, certifications, and more. Additionally, IntelliPro provides a comprehensive benefits package, all subject to eligibility.Powered by JazzHR
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More About this Listing: Insurance Payer Specialist
Insurance Payer Specialist is a Insurance Jobs Insurance Agent Job at Intellipro Group located in Sunnyvale CA. Find other listings like Insurance Payer Specialist by searching Oodle for Insurance Jobs Insurance Agent Jobs.
Insurance Payer Specialist is a Insurance Jobs Insurance Agent Job at Intellipro Group located in Sunnyvale CA. Find other listings like Insurance Payer Specialist by searching Oodle for Insurance Jobs Insurance Agent Jobs.