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Payor Relations Specialist
4 months ago
Unlock the power of data and drive success as a Payor Relations Specialist with HealthTronics Your role will be the backbone of our operations, managing real-time data for third-party payors and key customers in the healthcare industry. Dive into the details to boost profitability, share vital contract information across our organization, and play a pivotal role in shaping our payor contracting strategies for continued growth and market leadership. If you're ready to make a real impact in healthcare, join us and turn your passion for data into a rewarding career journey
About Us
At HealthTronics, we're dedicated to providing top-notch urological and other healthcare services. As a Payor Relations Specialist, you'll work with a team of experts committed to delivering quality care and maximizing profitability.
Your Responsibilities
- Contracts Management: Oversee new and existing contracts, renewals, and real-time contract activity to ensure data integrity and profitability.
- Payor Portal and CRM Maintenance: Maintain accurate data in payor portals, CRM systems, and other data repositories to support compliance and credentialing.
- Customer Service: Act as a liaison between payors/customers and internal teams, resolving disputes and facilitating managed care activities.
- Compliance and Dispute Resolution: Stay updated on payor compliance, resolve contractual disputes, and participate in payor audits.
- Market Analysis and Relationship Building: Analyze market trends, maintain positive relationships with key payors, and contribute to strategic payor contracting strategies.
- Competitive compensation and benefits package.
- Opportunities for professional growth and development.
- A collaborative and supportive work environment focused on innovation and excellence.
- Applicants must answer all application pre-screening questions to be considered for this role. Candidates that fail to answer these questions, will be rejected from the system.
- 3 years or more of relevant experience in a health care setting, at least one of which is in Third Party Payor contracting.
- Vast understanding of managed care contracts and the effects the language and guidelines have on reimbursement.
- In-depth knowledge of government contracts and regulations – Medicare, Medicaid (various states) and accreditation/certification standards.
- Strong team player with the ability to continuously collaborate with others, think creatively and manage multiple projects effectively.
- Excellent communication skills and proficiency in MS Excel and analytics tools.
- Self-motivated and able to work well in time-constrained environments.
If you're ready to take your career to the next level and make a meaningful impact in healthcare, apply now to become a Payor Relations Specialist at HealthTronics
Healthcare providers turn to HealthTronics for their medical technology needs because we understand that specialty practices need special consideration. Therefore, we’re all working for the same thing. Our solutions include Urological Services. HealthTronics is committed to equal opportunity for all, without regard to race, religion, color, national origin, citizenship, sex, age, veteran status, disability, genetic information, or any other protected characteristic. HealthTronics will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business.
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About HealthTronics:
HealthTronics was formed more than 25 years ago by a group of urologists looking for a better way to improve economics, while still providing the best possible care for their patients. We discovered that through partnerships and specialization we are able to make new technologies accessible to physicians and hospitals to treat their patients. As the health care landscape evolved, we did too. Today, HealthTronics offers a broad array of minimally invasive, mobile medical therapies for clinical applications, when and where they’re needed.Health care facilities throughout the U.S. have access to minimally invasive mobile medical therapies through HealthTronics. Proud to be specialized.Health care providers turn to HealthTronics for their medical technology needs because we understand that specialty practices need special consideration. Therefore, we're all working for the same thing. Our solutions include:• Lithotripsy Solutions• Cryotherapy Solutions• Laser Treatment Solutions• Additional Products• Repair & Maintenance
