Payer Relations & Operations Coordinator

Prism Medical Products, LLC; Elkin (NC); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Life Insurance

Disability Insurance

401(k)

Company Paid Holidays

Paid Time Off

Education Assistance Program

Community Involvement Opportunities

Employee Engagement Programs

Job summary

Prism Medical Products, LLC 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 ensure payer-related activities align with organizational, operational, and strategic objectives.

The ideal candidate is highly organized, detail-oriented, and capable of balancing multiple

Qualifications

• 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.

Responsibilities

• Coordinate 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.

Skills

Strong organizational skills

Excellent verbal and written communic

Strong computer proficiency

Ability to work effectively in a fast‑

Ability to establish priorities, meet

Ability to communicate professionally

Education

Bachelor's degree in Business, Healthcare Administration, or another healthcare-related field

High School Diploma or equivalent

Tools

CRM platforms

Payer management databases

Job description

Prism Medical Products, LLC 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 ensure payer-related activities align with organizational, operational, and strategic objectives.

The ideal candidate is highly organized, detail-oriented, and capable of balancing multiple