Payer Relations Generalist

Statement of the Position

The Payer Relations Generalist works as a Payer Relations team member. The payer relations team is a multidisciplinary group that is charged with contracting, credentialing, issue resolution and other payer processes. This is a position that requires solid analytical skills and sound judgment. Work under direct supervision of the Payer Relations Credentialing Manager.

Company Description

At all levels, working at National Seating & Mobility provides the opportunity to directly impact our client's lives by giving them self-reliance and independence. Our teams are comprised of passionate individuals, dedicated to providing the best care to each client. We focus on abilities by leveraging technology and creating mobility solutions that are as unique as our client's needs.

Working at National Seating & Mobility is an opportunity to build a meaningful career, while leaving a lasting impact on the lives of those we serve. Located in more than 40 states, we strive for diversity and offer an array of benefits including 401k, company paid leave, and tuition reimbursement.

We are looking to grow our enthusiastic and engaged team at NSM. Submit your resume and join a group of enthusiastic professionals dedicated to changing lives.

Duties and Responsibilities / Essential Functions

• Answer incoming calls and address emails that come in directly to our National Accounts queues
• Working directly with users in all areas.
• Assign all new referrals that come into the National Accounts queues to the appropriate branch location and coordinate the process to schedule initial evaluation
• Track and follow-up on referrals through established process and provide updates and required documentation to the key national payers
• Manage large amounts of incoming calls, faxes and emails
• Maintain company databases that track payer specific information which provides support to Funding, Billing and Collection teams.
• Communicate directly with payers via phone, email or any other means necessary to perform daily work activities
• Identify areas of improvement within the scope of their function and work with Payer Relations leadership to document and implement change
• Work on projects as assigned by the Payer Relations leadership team
• Provides administrative support to the Payer Relations teams
• Assumes other duties and responsibilities as assigned

Work Environment

This role operates in a professional corporate office or an approved, secure, and HIPAA-compliant home office. The position routinely requires the use of standard digital office equipment and productivity tools.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is regularly required to sit; use hands repetitively to operate standard office equipment. The employee is frequently required to reach with hands and arms.

Required Education, Experience & Competencies

Organization

• Highly organized detail oriented.
• Critical thinking skills.
• Ability to prioritize work as needed.

Education and formal training

• High School Diploma or equivalency certificate.

Knowledge, skills and abilities

• Working knowledge of Microsoft products (Word, Excel,Outlook, Adobe).
• Strong oral and written communication skills.
• Ability to work in team environment.
• Must be able to manage multiple priorities in a fast-paced environment and exercise independent judgment on matters of significance.