Payer Specialist

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

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k

Disability insurance

Life insurance

PTO

Holidays

Wellness discounts

Mental health services

Job summary

Ivy Health in New York is seeking a Payer Specialist to support the Revenue Cycle Team. The role emphasizes timely payer billing, accurate insurance verification, and proactive communication with payers to resolve discrepancies.

Responsibilities include follow-up on accounts receivable, collaboration with care teams, and researching payer information for contract terms and filing requirements. A 3-year payer background and EMR familiarity are preferred.

Qualifications

• A high school diploma or GED is required.
• Minimum of three years’ experience in healthcare payer environment.
• Proficient with Microsoft Outlook, Word, Excel and Access.
• Excellent oral communication and phone presence.
• Understanding of quality customer service.
• Ability to prioritize tasks with urgency.
• Experience with EMR systems; Raintree preferred.

Responsibilities

• 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.

Skills

Communication skills

Phone presence

Customer service

Task prioritization

EMR systems experience

Education

High school diploma or GED

Tools

Outlook

Word

Excel

Access

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.

Why choose Ivy Health?

• Exceeding Expectations: Deliver best-in-class care andwitnessexceptional patient outcomes.
• Empowering Values: Live by values that prioritize teamwork, growth, and serving others.

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, visioninsurance
• 401k with companymatchingcontribution
• Disability & life insurance
• Pet insurancediscountsforyour 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.Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits.

ivyhealth.com