Payor Management posted about 5 hours ago Falck Internal Mesa, AZ

Falck A/S; Mesa (AZ); Presencial; USD 100 000 - 150 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Full-time benefits (Medical, Dental, 5

401(k) with company match

Training and Career Development

Resumo da oferta

Falck US, within Revenue Cycle Management, seeks a Payor Management Lead to ensure payer enrollments, portal access, and electronic billing are accurate and timely. You will monitor payer updates, resolve enrollment issues, and support reimbursement to protect cash flow.

You will collaborate with payors, vendors, and internal teams to drive improvements, reduce delays, and support smoother reimbursement, cash flow, and patient experience.

Qualificações

• Experience in healthcare revenue cycle and payer enrollment operations.
• Strong attention to detail and accuracy in enrollment data and billing setup.
• Ability to work independently and manage multiple priorities in a fast-moving EMS RCM environment.

Responsabilidades

• Manage payer enrollments across Medicaid, Medicare, EFT/ERA, ACH, and EDI.
• Serve as administrator for payer/provider portals including access, updates, and security.
• Complete scheduled enrollment activities and respond to ad hoc payer requests promptly.
• Maintain user reports, enrollment records, tracking logs, and supporting documentation.
• Research new payer opportunities and stay updated on payer requirements.
• Communicate with payors, vendors, and internal teams to resolve enrollment and portal issues.

Conhecimentos

Attention to detail

Healthcare revenue cycle

Payer enrollment

Provider portals

Independent work

Multi-tasking

Communication

Process improvement

Collaboration

Descrição da oferta de emprego

Lead- Insurance Relations, Payor Management

Location

Revenue Cycle Management

Department

Revenue Cycle Management

FLSA Status

Exempt

Shifts Hiring

Full-time

Help patients behind the scenes – no blood, no needles, just smart support

At Falck US, Revenue Cycle Management is how we help real people after some of the most stressful moments in their lives. In our EMS RCM environment, strong payer relationships are essential because they directly influence revenue, cash flow, and collection outcomes, while also helping to create a smoother, more supportive experience for our patients.

As a Payor Management Lead in Revenue Cycle Management, your focus will be on keeping payer enrollment, portal access, and electronic billing processes accurate and current. You will help the business understand what is needed to keep payor connections working smoothly, where delays or issues may be building, and what actions are needed next across enrollments, updates, and requests. Your work will help support better reimbursement, cash flow, and overall revenue cycle performance, in line with Falck’s RCM approach of helping payors, operations, and internal teams do the right thing. In a fast-moving EMS RCM environment, this work helps protect revenue, reduce administrative friction, and keep our teams focused on delivering care and supporting the people who depend on us.

The Payor Management Lead supports Revenue Cycle Management by ensuring payer enrollments, portal access, electronic billing setup, and related payor processes are completed accurately and on time. This role helps keep revenue cycle operations running smoothly by reducing delays, supporting reimbursement, and maintaining strong compliance and payer connectivity.

A key part of the role is to serve as a reliable point of contact for payor-related requests, research new opportunities, and stay current on payer updates and requirements. This supports a more organized, responsive, and efficient RCM function, which is essential to protecting cash flow and collection outcomes.

In this role, you will

• Manage payer enrollments, including Medicaid, Medicare, EFT/ERA, ACH, and EDI.
• Serve as the administrator for payer and provider portals, including access, updates, security, and maintenance.
• Complete scheduled enrollment activities and respond to ad hoc payer and operational requests in a timely manner.
• Maintain user reports, enrollment records, tracking logs, and supporting documentation.
• Research new payer opportunities, tools, and vendor requirements.
• Communicate with payors, vendors, and internal teams to resolve enrollment and portal issues.
• Support related RCM operational needs, including cash support, EOB research, unclaimed property, charge updates, and closing activities.
• Identify process improvements and escape issues as needed.
• Perform other duties as assigned to support Falck’s relationships with payors and operational partners.

You might be a great fit if you have

• Strong attention to detail and accuracy.
• Experience in healthcare, revenue cycle, payer enrollment, provider portals, or related insurance operations.
• The ability to work independently, stay organized, and manage multiple priorities.
• Strong research and problem-solving skills.
• A collaborative mindset and the ability to work well with payors, vendors, and internal teams.
• A forward-thinking approach and the ability to identify opportunities for process improvement.
• A mindset focused on closing the gap between payor processes and provider needs to help support the patient experience.
• Comfort working with spreadsheets, tracking tools, and internal systems.
• A professional, dependable, and self-motivated approach to daily work.

What We Offer:

• Full-Time Benefits (Medical, Dental, Vision, Life)
• 401(k) with company match
• Training and Career Development

Working Conditions:

The working conditions described below are representative of those a team member encounters while performing the essential duties and responsibilities of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities of this job.

• Small to medium office or shared work space
• Work varied shifts to include days, nights, weekends and holidays

Physical Requirements:

The physical demands described below are representative of those that must be met by a team member to successfully perform the essential duties and responsibilities of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

• Ability to sit for long periods of time
• Ability to use a computer for long periods of time
• Ability to use hands to handle, control, or feel objects, tools, or controls.
• Ability to repeat the same movements for long periods of time
• Ability to push and lift to 25 lbs.

This job description is a summary of duties, it is by no means an all-inclusive list but is merely a broad guide of expected duties.

Falck is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to race, color, religion, sex, gender identity, pregnancy, national origin, ancestry, citizenship, age, marital status, disability, sexual orientation, genetic information, veteran status or any other characteristic protected by state or federal law.

Falck is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to race, color, religion, sex, gender identity, pregnancy, national origin, ancestry, citizenship, age, marital status, disability, sexual orientation, genetic information, veteran status or any other characteristic protected by state or federal law.