Insurance Payer Specialist

2 days ago


Sunnyvale, California, United States Ihealth Labs Inc Full time
Job Title: Insurance Payer Specialist

We are seeking a highly skilled Insurance Payer Specialist to join our team at iHealth Labs Inc. This role will be responsible for performing health insurance payer analysis, researching and communicating complex payer and industry changes, and managing the revenue cycle for Remote Patient Monitoring, Chronic Care Management, and Medical Nutrition Therapy services.

Key Responsibilities:
  • Perform health insurance payer analysis and research to identify trends and opportunities for revenue growth
  • Communicate complex payer and industry changes to internal stakeholders and maintain accurate documentation
  • Manage the revenue cycle, including eligibility verification, authorization, charge entry, claim submission, and payment posting
  • Develop and implement departmental procedures and processes to improve revenue capture and reduce revenue leakage
  • Collaborate with IT teams to implement technology enhancements that improve billing and revenue efficiency
  • Ensure compliance with healthcare billing regulations and stay current with changes in billing and coding guidelines
Requirements:
  • Bachelor's degree in accounting, healthcare administration, finance, business, or related field
  • 5+ years of experience in an office environment or healthcare-related field
  • Knowledge of CPT/ICD-10/HCPCS codes and EHR systems
  • Proficient in medical terminology and insurance plans
  • Experience with process improvement, quality control, data analysis, and reporting
About iHealth Labs Inc:

iHealth Labs Inc is a leading provider of consumer-friendly, mobile personal healthcare products connected through the cloud. We are committed to empowering people to live healthier lives and are dedicated to delivering high-quality and accessible products.

We are an equal opportunity employer and welcome applications from diverse candidates. Please visit our website for more information on our company culture and values.



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