Insurance Payer Resolution Representative

4 days ago


West Nyack, New York, United States WMC Health Network Full time

WMC Health Network is seeking an Insurance Payer Resolution Representative to join our team. The estimated annual salary for this position is $65,000 - $85,000.

In this role, you will be responsible for resolving insurance claims disputes and negotiating payment agreements with payers. Your primary goal will be to ensure timely resolution of outstanding claims and maximize revenue recovery for the organization.

Key responsibilities include:

  1. Analyzing and resolving insurance claims disputes
  2. Negotiating payment agreements with payers
  3. Preparing and posting necessary adjustments and claim changes on accounts

To succeed in this role, you will need one year of experience in hospital billing, with preferred experience in follow-up or collections. A high school diploma or equivalency is required. The ideal candidate will have knowledge of collections management, reimbursement methodologies, and payer billing requirements.

If you are a results-driven and analytical individual with excellent communication skills, we encourage you to apply for this challenging opportunity.



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