Payer Contract & Fee Schedule Specialist

Zelis Healthcare, LLC; Utah; Hybrid; USD 45,000 - 60,000; Full time

Job summary

Zelis Healthcare, LLC is seeking a Client Data Specialist to maintain accuracy in customer accounts related to payer contracts and fee schedules. The role demands excellent communication and problem-solving skills while supporting client success initiatives.

This position allows for a flexible work approach, requiring collaboration with internal teams to enhance client service experiences. Candidates must possess an Associate's degree with relevant experience, and familiarity with CRM and AI tools is essential.

Qualifications

• Associate's degree with relevant experience or HS diploma with additional experience.
• Good understanding of physician and/or hospital reimbursement methodologies.
• Experience in modeling fee schedules or billing.

Responsibilities

• Maintain up-to-date payer contracts and fee schedules for customer accounts.
• Perform data discovery and entry tasks, including formatting spreadsheets.
• Communicate with clients about the details of their payer contracts.

Skills

Good understanding of physician reimbursement methodologies

Excellent verbal and written communication skills

Proficiency using CRM software

Excellent problem-solving abilities and attention to detail

Empathy and patience when dealing with clients

Education

Associates degree & 1 year experience or HS Diploma and 3 years

Tools

AI tools

CRM software

Job description

Zelis Healthcare, LLC is seeking a Client Data Specialist to maintain accuracy in customer accounts related to payer contracts and fee schedules. The role demands excellent communication and problem-solving skills while supporting client success initiatives.

This position allows for a flexible work approach, requiring collaboration with internal teams to enhance client service experiences. Candidates must possess an Associate's degree with relevant experience, and familiarity with CRM and AI tools is essential.