Payor Relations Administrator
23 - 27 USD per hour
Company:Millennium Health
Location:San Diego, California, United States
Languages:English
Seniority level:Entry, 1 year
Experience:1 year
Skills:
Communication SkillsMicrosoft ExcelCustomer serviceAttention to detailOrganizational skills
Requirements:
High School Diploma or GED minimum requirement. Associate's degree or higher highly preferred. Experience with insurance basics, PPO, HMO, POS, Capitation, Workers Comp, Mva. Experience with 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. Proficient in Excel, create and maintain spreadsheets. Proficient in Word. Proficient in 10 key. Exceptional Customer Service. Ability to communicate clear and concise information. Typing speed of 40 wpm. Comfortable working in a remote setting.
Responsibilities:
Complete payor applications, credentialing, revalidations, and enrollments with contracted and non-contracted payors. Ensure no impacts to revenue based on unfulfilled payor enrollment requests. Promote department efficiency and present revenue opportunities. Identify, complete, and communicate payor procedures related to enrollment. Support compliance initiatives by monitoring payors and working with the leadership team. Maintain strictest confidentiality and adhere to HIPAA guidelines/regulations.
