Work Compensation/No Fault Payor Specialist

ivyhealth; United States; Remote; USD 29,000 - 33,000; Full time

Job summary

Ivy Rehab in New York is seeking a Payer Specialist to support revenue cycle operations and enable patients to receive timely care. The role emphasizes accurate billing, payer communications, and collaboration with the team on denials prevention.

This remote-eligible position requires a high school diploma, 3+ years in healthcare payer environments, and proficiency with MS Office and multiple EMR systems; experience with Raintree is a plus, as is compensation and No-Fault knowledge.

Qualifications

• High school diploma or GED required.
• Minimum of 3 years’ experience in healthcare payer environments.
• Experience with EMR systems; Raintree a plus; familiarity with Work Comp and No-Fault.
• Proficient in MS Outlook, Word, Excel and Access; strong communication skills.

Responsibilities

• Ensure timely billing for all payers within region, including secondary billing.
• Maintain accurate notes and communication in the patient’s ledger/chart.
• Verify insurance information and handle discrepancies with appropriate contacts.
• Support denial prevention through proactive follow-up and documentation.
• Follow up on Accounts Receivable by insurance and gather required info for claims or appeals.
• Communicate with payers via phone, email or other means as needed.
• Coordinate with third-party vendors to secure claim payment.
• Research, setup, and test new payer information including contract terms and filing requirements.
• Track discrepancies from partial payments and contractual terms; assist PCs and patients with questions.

Skills

Oral communication

Phone presence

Customer service

Prioritization

Time management

Team collaboration

MS Excel

MS Word

MS Outlook

Education

High school diploma or GED

Tools

EMR systems

Raintree

Microsoft Access

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

State of Location: New York Position Summary: At Ivy Rehab, we're "All About the People"! As a Payer Specialist, you will play a crucial role in our mission to help enable people to live their lives to the fullest.

Job Description: The Payer Specialist will report to the Revenue Cycle Business Partner and is an integral member of the Revenue Cycle Team. This position allows for remote work.

Your responsibilities will include:

• 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.

To excel in this role, you should possess:

• A high school diploma or GED equivalent required.
• A minimum of three years’ experience in all facets of healthcare payer environment
• Computer skills using Microsoft Outlook, Word, Excel and Access.
• Excellent oral communication skills and phone presence.
• Understanding of quality customer service.
• Demonstrated ability to prioritize tasks and work with a sense of urgency.
• Experience with a variety of EMR systems, Raintree experience is a plus.
• Work Compensation and No-Fault experience

Why choose Ivy?

Best Employer: A prestigious honor to be recognized by Modern Healthcare, signifying excellence in our industry and providing an outstanding workplace culture.

Exceeding Expectations: Deliver best-in-class care and witness exceptional patient outcomes.

Incentives Galore: Eligibility for full benefits package beginning within your first month of employment.

Generous PTO (Paid Time Off) plans and paid holidays.

Exceptional Partnerships: Collaborate with leaders like Hospital for Special Surgery (HSS) and educational partners for continuous learning.

Empowering Values: Live by values that prioritize teamwork, growth, and serving others.

Compensation for this role ranges from $21.00 to $24.00 per hour based on experience. #LI-ST1 #LI-remote

We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process.

Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits.

ivyhealth.com Welcome to Ivy Health Join us on our mission to inspire & enable people to live life to the fullest! Ivy Health is a growing team of orthopedic and pediatric outpatient physical, occupational, speech, and ABA therapy clinics with over 500 locations throughout the Northeast, Mid-Atlantic, Midwest, and Southeast. Through a shared commitment to clinical excellence, we work as a unified team to serve each person to the best of our ability. Combining our clinical objectives and company culture, you can see why Ivy is committed to providing endless opportunities to every teammate through professional development tracks, continuing education, leadership development, residency cohorts, mentorship programs, and many other resources.