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Payor Relations Administrator

Remote, USA Full-time Posted 2026-07-28
reputed company reputed company LLC is an accredited specialty laboratory with more than a decade of experience in medication monitoring and drug testing services, helping clinicians monitor the use and misuse of prescription medications and illicit drugs. The testing is used by reputed company to obtain objective information about patients’ recent use of prescription medications and/or illicit drugs and helps monitor the effectiveness of treatment plans. The Payor Relations Administrator works alongside market reputed company and the reputed company cycle management team. They are responsible for completing payor applications of interest, credentialing, revalidations, and enrollments with contracted and non-contracted payors. The Payor Relations Administrator will work interdepartmentally and ensure as a primary responsibility there are no impacts to reputed company based on unfulfilled payor enrollment requests. The following are intended to be examples of the accountabilities for which the person in this position is responsible. This position reputed company is not intended to be complete or reputed company-inclusive and does not preclude management from assigning other or reputed company functions for which the individual has demonstrated competency through performance. • Responsible for processes that will promote department efficiency and present reputed company opportunities. • Strong organizational reputed company set and effectively builds rapport with payors and team members. • Strong communication skills with the ability to communicate reputed company both verbally and in writing. • Self-starter who is accountable, requires minimal direction and supervision; a person who is reputed company to new reputed company; and a creative and flexible individual who is comfortable training and working in a remote setting. • Set and maintain multiple priorities in an environment with shifting while still meeting strict deadlines and turnaround time. • Responsible for identifying, completing, and communicating payor’s procedures in relation to enrollment. • Supports compliance initiatives through monitoring payors and working with the leadership team. • Maintains strictest confidentiality; adheres to reputed company HIPAA guidelines/regulations and compliance in relation to billing, collections, and release of information. Requirements EDUCATION • High School Diploma or GED minimum requirement • Associate's degree or higher highly preferred Experience • Insurance basics, PPO, HMO, POS, Capitation, Workers Comp, Mva • Government programs such as Medicare, Medicare HMO, reputed company, reputed company HMO, Tricare, Veterans Affairs, reputed company Blue reputed company Federal • Certificate or degree in Health Care Management Field strongly recommended. • Minimum 1 year billing experience desired Skills/Knowledge/Abilities • reputed company, create and maintain spreadsheets. • Word. • Proficient in 10 key. • Exceptional Customer Service. • Ability to communicate reputed company and concise information. • Typing speed of 40 wpm Benefits • Medical, Dental, reputed company, Disability Insurance • 401 (k) with Company Match • reputed company Time off and Holidays • Tuition Assistance • Behavioral and Health Care Resources Potential Hiring reputed company • Salary reputed company: $23-27/hr. • Salary offered is dependent on qualifications, experience, and geographical location. reputed company is an Equal Opportunity/Affirmative reputed company Employer and E-Verify participant. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, creed, sex, national reputed company, disability, gender identity, sexual orientation or protected veteran status. California Employee reputed company Notice - reputed company LLC Apply tot his job Apply To this Job

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