Are you ready to wield your negotiation prowess to shape the future of healthcare contracts? If youre passionate about navigating the intricate landscape of payer agreements and proactively resolving challenges, we want you to join our growing people-centric community!
As a Payer Contracting Specialist with a strong background in quality assurance, you will closely work with our team members and clients to ensure accurate contract details, timelines, and practices. You will serve as a relationship builder between in-house units and insurance companies. Your efforts will directly influence the quality of care our clients deliver.
Apply now and be part of our company, where were not just colleagues but a UniTeam!
How You Spend Your Eight Hours
Communicate with insurance companies to collect contracting status and fee schedules
Accurately document client information into the Acorn system
Collaborate with account management team members to optimize contracts
Coordinate with internal departments, insurance companies, and clients to gather critical data
Maintain a professional relationship with the insurance companies or payers
Stay current on insurance industry practices and governmental rules
Help make informed decisions about changes to networks, contracts, practices, rules, and timelines
Maintain a library of plan details and business rules for team members
Clearly communicate modifications through training, company meetings, bulletins, etc
Proactively address billing and contracting issues escalated from account teams
Organize efforts of other parties to collect information on behalf of clients
What You Must Possess
Degree in business or healthcare administration
At least three years of payer enrollment or customer service experience
Dental/Medical credentialing experience desired
Strong oral and written communication skills
Strong analytical, interpersonal, and communication skills
Ability to think critically and troubleshoot problems
Proficiency with Microsoft Office
Positive attitude and organizational skills
Consistent and keen attention to detail
Eagerness to learn
Independence and team-oriented attitude
What You Shall Receive
HMO coverage starts upon regularization. First dependent after 1 year, second after 2 years. Additional dependents can be added anytime at employees expense
VL/SL credits upon regularization
Friendly and supportive work culture
13th-month pay and other Philippine government-mandated benefits
Non-taxable allowances
Pay increases, performance bonuses, birthday gifts, and many more
What You Should Consider
Full-time exempt position
Monday to Friday, 9 AM to 6 PM EST
Hybrid work setup
Why Join Our Company
You look for a company whose senior management listens to what you are and arent saying and whose managers and team leads you can genuinely connect with. According to Glassdoor, 99% of the current and previous employees recommend Unity Communications to their friends, and 100% approve of its executive management. Our company is a Certified Great Place To Work that values inclusion and diversity and spreads kindness and positivity.
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