Remote Payor Reimbursement Specialist - HUB Services

Jobgether; Oregon; Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

Fully remote working opportunities

Flexible working environment

401(k) retirement plan with employer-m

Job summary

Jobgether is seeking a seasoned Payor Analyst to support reimbursement operations and payer information management across the US. The role focuses on maintaining payer databases, updating reimbursement guidelines, and ensuring data integrity to optimize billing, prior authorizations, and appeals.

The ideal candidate has 5+ years in healthcare reimbursement or payer operations, strong Excel skills, and proven collaboration across departments, with a commitment to audit readiness and quality

Qualifications

• High school diploma or GED required.

Responsibilities

• Maintain and update payer databases with accuracy and completeness.
• Consolidate payer-related insights from HUB operations, field reimbursement, and analytics.
• Prepare audit materials and support internal/external audits.
• Communicate payer policy changes to stakeholders and update documentation.
• Educate staff and clients on reimbursement procedures and best practices.
• Collaborate with cross-functional teams to improve first-submission outcomes.
• Monitor payer notices and update databases accordingly.
• Develop payer roadmaps guiding billing, prior authorizations, and appeals documentation.
• Support continuous improvement to reimbursement accuracy and efficiency.

Skills

Analytical thinking

Attention to detail

Leadership

Communication (written)

Communication (verbal)

Cross-functional collaboration

Problem solving

Prioritization

Multitasking

Adaptability

Education

High school diploma or GED

Tools

Microsoft Excel

Microsoft Access

Microsoft Word

Microsoft PowerPoint

Job description

Jobgether is seeking a seasoned Payor Analyst to support reimbursement operations and payer information management across the US. The role focuses on maintaining payer databases, updating reimbursement guidelines, and ensuring data integrity to optimize billing, prior authorizations, and appeals.

The ideal candidate has 5+ years in healthcare reimbursement or payer operations, strong Excel skills, and proven collaboration across departments, with a commitment to audit readiness and quality