Remote Payer Specialist: Healthcare Billing & Claims Expert

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

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.