Payer Relations Administrative Coordinator
Prism
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Benefits offered by this job
Job summary
Prism in Elkin, NC is seeking a Payer Relations Administrative Coordinator to support payer contracting activities and payer relations initiatives across the organization. The role provides administrative coordination, project oversight, communication support, and workflow management to align payer-related activities with goals.
The ideal candidate is highly organized, detail-oriented, and capable of balancing multiple priorities while building strong relationships with internal stakeholders and
Qualifications
- High School Diploma or equivalent.
- General knowledge of healthcare operations and medical business practices.
- Strong organizational skills and attention to detail.
- Excellent verbal and written communication skills.
- Strong computer proficiency and ability to navigate multiple systems and databases.
- Ability to establish priorities, meet deadlines, and manage multiple competing demands.
Responsibilities
- Coordinate administrative activities within Payer Relations, including CRM management and payer databases.
- Organize department meetings and support collaboration around goals and projects.
- Monitor workflows to ensure timely completion of objectives.
- Collaborate with internal departments and payer organizations to resolve contracting and claims issues.
- Prepare and distribute monthly/quarterly reports related to payer contracts and relations.
Skills
Education
Tools
Job description
Payer Relations Administrative Coordinator
At Prism, we are more than a healthcare support organization. We are a team of dedicated professionals committed to delivering exceptional service, strengthening payer partnerships, and supporting access to quality patient care across the healthcare continuum.
As part of our growing organization, you'll have the opportunity to make a meaningful impact every day. We are seeking motivated professionals who are passionate about operational excellence, relationship management, and process improvement. If you thrive in a collaborative environment and enjoy coordinating complex projects while supporting key business initiatives, we encourage you to apply.
We believe our employees are our greatest asset. That's why we are committed to providing resources and opportunities that support both personal and professional success.
We encourage career development through ongoing training, professional growth opportunities, competitive benefits, generous paid time off, and a commitment to work-life balance.
We offer a comprehensive benefits package including medical, dental, vision, life insurance, disability coverage, 401(k), company-paid holidays, employee engagement initiatives, and educational assistance programs.
Our employees receive the tools, training, mentorship, and support needed to excel in their roles and advance their careers.
From onboarding to ongoing development, you'll have access to industry expertise, payer relations resources, and leadership support designed to help you succeed.
As a Payer Relations Administrative Coordinator, you will play a key role in supporting payer contracting activities and payer relations initiatives across the organization. This position provides administrative coordination, project oversight, communication support, and workflow management to ensure payer-related activities align with organizational, operational, and strategic objectives.
The ideal candidate is highly organized, detail-oriented, and capable of balancing multiple priorities while building strong relationships with internal stakeholders and external payer partners.
- Coordinate and facilitate administrative activities within the Payer Relations department, including CRM management, payer databases, communications, and departmental documentation.
- Organize department meetings and support collaboration by coordinating discussions around team goals, projects, company updates, problem-solving, and departmental initiatives.
- Monitor workflows and departmental projects to ensure effective task delegation, balanced workloads, project accountability, and timely completion of objectives.
- Collaborate with internal departments and payer organizations to help resolve contracting and claims processing issues.
- Assist in the preparation and distribution of monthly and quarterly reports related to payer contracts and payer relations activities.
- Maintain knowledge of Medicare, Medicaid, Managed Care Organizations, and commercial payer requirements to support compliance and operational effectiveness.
- Support team development efforts through workflow coordination, employee check-ins, training support, and process improvement initiatives.
- Serve as a resource for payer-related questions and provide support during departmental staffing shortages or escalations.
- Build and maintain positive relationships with internal teams, healthcare payers, and business partners while representing Prism in a professional manner.
- Promote compliance with company policies, procedures, safety standards, and regulatory requirements.
- Perform additional duties and special projects as assigned by leadership.
- High School Diploma or equivalent
- General knowledge of healthcare operations and medical business practices
- Knowledge of commercial and government insurance programs and regulations
- Strong organizational skills and attention to detail
- Excellent verbal and written communication skills
- Strong computer proficiency and ability to navigate multiple systems and databases
- Ability to establish priorities, meet deadlines, and manage multiple competing demands
- Ability to work effectively in a fast-paced environment
- Ability to communicate professionally with individuals at all levels of the organization
- Bachelor's degree in Business, Healthcare Administration, or another healthcare-related field
- Experience supporting payer relations, payer contracting, managed care, or healthcare administration
- Experience with CRM platforms and payer management databases
- Working knowledge of Medicare, Medicaid, Managed Care Organizations, and commercial payer requirements
- Experience coordinating projects, reporting activities, and cross-functional initiatives within a healthcare environment
Medical, Dental, Vision, Life Insurance, Disability Insurance, 401(k), Company Paid Holidays, Paid Time Off, Education Assistance Program, Community Involvement Opportunities, and Employee Engagement Programs.
Full-Time
Monday-Friday
Elkin, NC
PRISM Home Medical Supply Specialists provides seamless delivery of wound care, urological and ostomy supplies. PRISM is one of the fastest growing Home Medical Supply Specialists in the industry and has a reputation of excellence for dedicated service to patients, health care professionals and industry partners.
PRISM welcomes talented, motivated, and progressive-thinking professionals to contribute to the company's reputation of excellence! As one of the fastest growing companies in the industry, PRISM offers employees the opportunity to establish a growing and successful career. PRISM's comprehensive training program and autonomous work environment gives individuals the ability to develop personally and professionally. As PRISM continues to grow, we are constantly looking for dynamic, top talent to add to our great team!
Position: Payer Relations Administrative Coordinator
Full-Time/Part-Time: Full-Time
Shift: Days
Exempt/Non-Exempt: Non-Exempt
Required
- High School Diploma or equivalent
- General knowledge of healthcare operations and medical business practices
- Knowledge of commercial and government insurance programs and regulations
- Strong organizational skills and attention to detail
- Excellent verbal and written communication skills
- Strong computer proficiency and ability to navigate multiple systems and databases
- Ability to establish priorities, meet deadlines, and manage multiple competing demands
- Ability to work effectively in a fast-paced environment
- Ability to communicate professionally with individuals at all levels of the organization
Preferred
- Bachelor's degree in Business, Healthcare Administration, or another healthcare-related field
- Experience supporting payer relations, payer contracting, managed care, or healthcare administration
- Experience with CRM platforms and payer management databases
- Working knowledge of Medicare, Medicaid, Managed Care Organizations, and commercial payer requirements
- Experience coordinating projects, reporting activities, and cross-functional initiatives within a healthcare environment
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
Prism provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type in accordance with applicable federal, state, and local laws.
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