Remote Payor Specialist — Medical Device Coverage

Openkrill; United States; Remote; USD 41,000 - 56,000; Full time

Benefits offered by this job

Employee Ownership Program

Home office benefits

Paid time off

401(k) with employer matching

Bonus opportunity

Job summary

PRO-Spectus is seeking a Payor Specialist to verify and reverify patient insurance coverage, submit authorizations, and maintain ongoing communication with insurers. The role supports the Case Management Team, coordinates LOA/SCA requests, and tracks payor determinations to ensure timely treatment scheduling.

The position is remote-forward with time zone considerations (Mountain or Pacific Time) and requires strong organizational skills, knowledge of payer guidelines, and excellent

Qualifications

• Strong organizational skills and attention to detail in a fast-paced environment.
• Ability to interpret medical policy and payer guidelines.
• Proficient with healthcare databases and electronic systems.
• Excellent interpersonal and written communication with diverse stakeholders.

Responsibilities

• Verify and reverificate insurance coverage and eligibility.
• Submit and follow up on authorizations and LOA/SCA requests.
• Coordinate with Case Management to prioritize daily activities.
• Communicate payor determinations and required follow-up steps.

Skills

Highly organized

Attention to detail

Adaptable

Communication

Problem solving

Education

High school diploma + healthcare exp

Associate's degree in healthcare

Job description

PRO-Spectus is seeking a Payor Specialist to verify and reverify patient insurance coverage, submit authorizations, and maintain ongoing communication with insurers. The role supports the Case Management Team, coordinates LOA/SCA requests, and tracks payor determinations to ensure timely treatment scheduling.

The position is remote-forward with time zone considerations (Mountain or Pacific Time) and requires strong organizational skills, knowledge of payer guidelines, and excellent