Payer Specialist

ivyhealth; United States; Remote; USD 30,000 - 33,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k with match

Disability insurance

Life insurance

Pet insurance

Parental leave

Maternity leave

Wellness discounts

Paid time off

Job summary

ivyhealth is seeking a Payer Specialist in New York. The role supports Revenue Cycle operations, including payer billing, insurance verification, and patient billing questions.

Remote work is available, with a focus on timely claims processing and denial prevention across multiple payers. The position requires a high school diploma and at least 3 years in healthcare payer environments, plus strong communication and EMR experience.

Qualifications

• High school diploma or GED required.
• Minimum 3 years experience in healthcare payer environment.
• Proficient with Microsoft Office and EMR systems.
• Strong communication and customer service skills.
• Ability to prioritize tasks and work with urgency.
• Experience with Raintree EMR is a plus.

Responsibilities

• Ensure timely billing for all payers within region, including secondary billing.
• Maintain accurate notes and communication in the patient’s ledger/chart.
• Verify insurance information and resolve discrepancies with the PC team.
• Collaborate to maintain denial prevention methods.
• Follow up on Accounts Receivable by insurance and collect required information.
• Communicate with payers by phone, email, or other means.
• Manage third-party vendors to ensure claims are paid.
• Research and test new payer information including contract terms and billing requirements.
• Track and resolve discrepancies based on partial payments and contracts.
• Assist PCs and patients with billing questions and resolve issues.
• Work one on one with users across the company to resolve issues.
• Prepare reports as needed and perform other duties as assigned.

Skills

Oral communication

Customer service

Prioritization

Team collaboration

Adaptability

Education

High school diploma or GED

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Microsoft Access

EMR systems

Raintree EMR

Job description

State of Location: New York Position Summary: At Ivy Health, we're "All About the People"! As a Payer Specialist, you will play a crucial role in our mission to help enable people to live their lives to the fullest.

Job Description: Payor Specialist

The Payer Specialist will report to the Revenue Cycle Business Partner and is an integral member of the Revenue Cycle Team. This position allows for remote work.

Your responsibilities will include:

• Ensure timely billing for all payers within region, including secondary billing.
• Maintain accurate notes and communication in the patient's ledger/chart.
• Ensure accuracy of insurance information and verification, working with PC if any discrepancies.
• Collaborate with all parties to maintain denial prevention methods.
• Follow up on Accounts Receivable by insurance, collecting required information to have claim processed or appealed.
• Communicate directly with payers via phone, email, or any other means necessary.
• Manage third-party vendor to successfully have claims paid.
• Actively engages in the research, setup, preparation, and testing of new payer information regarding contract details, reimbursement terms, claim form requirements, billing & collections requirements, timely filing requirements, and any other information.
• Track and resolve discrepancies, based on partial payments and contracts.
• Assist PCs and patients with billing related questions.
• Work one on one with users in all areas of the company to resolve any issues that may arise.
• Prepare reports as needed.
• Performs other duties as assigned.

To excel in this role, you should possess:

• A high school diploma or GED equivalent required.
• A minimum of three years' experience in all facets of healthcare payer environment.
• Computer skills using Microsoft Outlook, Word, Excel and Access.
• Excellent oral communication skills and phone presence.
• Understanding of quality customer service.
• Demonstrated ability to prioritize tasks and work with a sense of urgency.
• Experience with a variety of EMR systems, Raintree experience is a plus.

Compensation Range: $22.00 - $24.00 per hour. This position is also eligible for a bonus.

Full Benefits in Your First 30 Days

• Medical, dental, vision insurance
• 401k with company matching contribution
• Disability & life insurance
• Pet insurance discounts for your fur babies
• Paid parental leave and maternity leave
• Gym and wellness discounts
• Free mental health + financial services
• Generous PTO Program & 6 paid holidays annually

We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process.

ivyhealth.com

Welcome to Ivy Health Join us on our mission to inspire & enable people to live life to the fullest! Ivy Health is a growing team of orthopedic and pediatric outpatient physical, occupational, speech, and ABA therapy clinics with over 500 locations throughout the Northeast, Mid-Atlantic, Midwest, and Southeast. Through a shared commitment to clinical excellence, we work as a unified team to serve each person to the best of our ability. Combining our clinical objectives and company culture, you can see why Ivy is committed to providing endless opportunities to every teammate through professional development tracks, continuing education, leadership development, residency cohorts, mentorship programs, and many other resources.