Revenue Payor Specialist Position Available In Lafayette, Louisiana
Tallo's Job Summary: The Revenue Payor Specialist position at Sleep Management, LLC dba Viemed involves evaluating payers/networks, monitoring medical policy updates, and collaborating with revenue and credentialing teams. The role requires a minimum of five years of Medical Insurance/Healthcare Billing and Collections experience and strong knowledge of payor reimbursement and medical policies. Proficiency in Microsoft Office and excellent communication skills are essential for this role. The position is based in a well-lighted office environment with occasional evening and weekend work. This is an Equal Opportunity Employer and veterans and individuals with disabilities are encouraged to apply.
Job Description
Sleep Management, LLC dba
Viemed Revenue Payor Specialist Job Category:
Revenue Requisition Number:
REVEN002102
Full-Time Essential Job Responsibilities:
Evaluate new and existing payers/networks and their fee schedule for participation. Proactively monitors payor medical policy updates and ensures those are applied to daily processes. Collaborates with revenue and credentialing on enrollment of NPI’s for EDI submissions and imports of ERNs into billing software. Inputs all new insurance payors contracted/non-contracted in billing software. Ensures operations are conducted in a manner that is consistent with overall department protocol, and in compliance with Federal, State, and payer regulations, guidelines, and requirements. Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations. Reports all concerns or issues directly to Director of Revenue.
Experience:
Minimum of four (5) years Medical Insurance/Healthcare Billing and Collections experience in a medical practice or health system, with a deep understanding of insurance medical/fee schedule policies and regulations experience preferred.
Knowledge/Abilities:
Strong knowledge of payor reimbursement and medical policies Strong excel, analytical, problem-solving, and communication skills. Detailed-oriented with the ability to work independently and meet deadlines. Working knowledge of CPT and ICD9 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes. Up to date with health information technologies and applications. Must be proficient in Microsoft Office, including Outlook, Word, and Excel. Ability to communicate effectively in writing, over the telephone, and in person.
Work Environment:
Position is in well-lighted office environment. Occasional evening and weekend work may be required. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c) Equal employment opportunity, including veterans and individuals with disabilities. PI268093669
