Dental Payer Relations Specialist (Remote)

Espire Dental; Englewood (CO); Vor Ort; USD 70.000 - 100.000; Vollzeit

Zusammenfassung

The Espire Dental team seeks a Payer Relations Specialist to manage relationships with dental insurers and third-party payers. You will analyze fee schedules, support contract negotiations, and monitor reimbursement trends to optimize access and practice profitability.

Collaborating with Revenue Cycle, Credentialing, Finance, and Practice teams, you will drive payer performance, resolve escalated issues, and deliver insights to leadership while upholding Espire's mission and values.

Qualifikationen

• Bachelor's degree in business, healthcare administration, finance, or a related field preferred.
• At least 3 years of experience in dental or healthcare payer relations, managed care contracting, revenue cycle management, or related.
• Understanding of dental insurance, payer contracts, fee schedules, claims processing, denials, credentialing, and provider networks.
• Experience interpreting contract language and translating terms into operational/financial implications.
• Advanced Excel skills; familiarity with revenue-cycle, contract-management, or BI systems preferred.
• Strong written and verbal communication; able to work with payer representatives and leadership.
• Ability to manage multiple priorities and protect confidential information.

Aufgaben

• Manage relationships with dental insurers and third-party payers.
• Support review of payer agreements, amendments, participation requirements, and fee schedules.
• Analyze fee schedules, reimbursement trends, and payer performance for opportunities.
• Coordinate escalation of systemic payer issues and track resolutions to closure.
• Prepare concise analyses and materials for contract discussions and renewals.
• Collaborate with Revenue Cycle, Credentialing, Operations, Finance, Legal, and Practice teams on payer priorities.

Kenntnisse

Payer relations

Contract negotiation

Data analysis

Excel skills

Communication

Ausbildung

Bachelor's degree in business/healthcare/finance

Tools

Excel

Practice management systems

Contract management systems

Jobbeschreibung

The Espire Dental team seeks a Payer Relations Specialist to manage relationships with dental insurers and third-party payers. You will analyze fee schedules, support contract negotiations, and monitor reimbursement trends to optimize access and practice profitability.

Collaborating with Revenue Cycle, Credentialing, Finance, and Practice teams, you will drive payer performance, resolve escalated issues, and deliver insights to leadership while upholding Espire's mission and values.