Remote Payer Services Account Executive

Orsini Healthcare; United States; Teletrabalho; USD 75 000 - 91 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical coverage

Dental coverage

Vision coverage

401(k) with employer match

Life insurance

PTO and holidays

Tuition reimbursement

Resumo da oferta

Orsini Rare Disease Pharmacy Solutions is seeking a Payer Services Account Executive to drive payer contracting and credentialing, supporting the implementation of payer agreements across teams. You will build relationships with third‑party payers and vendors and help resolve out‑of‑network issues and payment discrepancies.

Remote position with preference for candidates near Elk Grove Village, IL or Columbus, OH offices.

Qualificações

• Bachelor’s degree or equivalent combination of education and experience.
• 0–1 years of related experience.
• Excellent written and verbal communication skills.
• Strong time management, prioritization, and multitasking skills.
• Ability to work independently while collaborating effectively within a team.
• Strong analytical and proactive problem‑solving skills.
• Proficiency with Microsoft Word, Excel, PowerPoint, and Outlook.
• Ability to build and maintain productive payer and vendor relationships.
• Experience with payer contracting, credentialing, managed care, pharmacy, or healthcare (preferred).

Responsabilidades

• Lead payer contracting efforts through prospecting and credentialing activities.
• Coordinate the accurate and complete implementation of payer agreements across internal teams and external partners.
• Develop, manage, and maintain relationships with third-party payers and vendors.
• Partner with payers and vendors to resolve out-of-network issues and payment discrepancies in accordance with contract terms.
• Maintain current and prospective account files, records, contract status, and requirements in accordance with company practices.
• Meet established project deadlines and performance standards.
• Complete required reporting and maintain accurate account and contract information.
• Utilize organizational applications and systems to troubleshoot and communicate contract status and requirements.
• Support achievement of assigned contracting, credentialing, and project milestones.
• Escalate payer or vendor issues appropriately and support timely resolution.
• Perform other duties and responsibilities as assigned.

Conhecimentos

Communication

Time management

Independent work

Analytical

Problem solving

Teamwork

MS Office

Formação académica

Bachelor’s degree or equivalent

Ferramentas

Microsoft Word

Excel

PowerPoint

Outlook

Descrição da oferta de emprego

Orsini Rare Disease Pharmacy Solutions is seeking a Payer Services Account Executive to drive payer contracting and credentialing, supporting the implementation of payer agreements across teams. You will build relationships with third‑party payers and vendors and help resolve out‑of‑network issues and payment discrepancies.

Remote position with preference for candidates near Elk Grove Village, IL or Columbus, OH offices.