Customer Service Associate – Payor Relations

Role Overview

• Act as the primary internal gatekeeper for our Payer Relations Escalation Submission Site from our internal stakeholders.
• Review submissions for accurate documentation so analysts can properly work on the case.
• Send requests for additional information when necessary.
• Manage the group email box making sure communications reach the payer relations analyst.
• Track all escalations submitted through the press site making sure the right documentation is received to follow up on requests.
• Research payer policies for updates to make sure any new or emerging changes for commercial and federal payers.
• Take notes during meetings making sure all takeaways are documented.
• Develop spreadsheets for proper documentation for any research or escalations that come up.

Requirements

• High School Diploma
• Minimum of four years of applicable Healthcare experience
• Previous experience successfully managing complex projects involving multiple stakeholders with a consistent track record of delivering on time, or high-quality results preferred.
• A Bachelors’ degree in a related field can substitute two years of experience on a 1:1 basis.

Benefits

• N/A