Payer Liaison Administrative Specialist

About Us At Vitruvian Health, we serve with compassion. As northwest Georgia and southeast Tennessee's leading healthcare system, we are committed not only to the health of our communities, but also to the growth, support, and success of our team members. Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With over 80 points of access across the region, including Hamilton Medical Center and Bradley Medical Center, we offer the opportunity to be part of something bigger: a connected, mission-driven team changing lives every day. Our core values, Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE), guide everything we do. We believe in empowering our people, celebrating differences, and delivering care that reflects the heart of our mission. Join us and build a meaningful career where you're valued, inspired, and supported to make a real impact. Excellence. Every person. Every time. Under the direct supervision of the Director, the Payer Liaison/Administrative Specialist verifies insurance coverage and obtains required authorizations, resolves pre-certification, registration, and case-related issues. Processes insurance verification for hospital discharges and placements. Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's obligations for services. Acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Documents referrals, communications, actions, and other data in an information system. Generates and distributes all applicable forms, notifications, and paperwork. Coordinates with revenue cycle team including Patient Access, Business Office/Patient Accounting, Contract Management, Health Information Management and other departments as needed to contribute to alignment of overall revenue cycle integrity. Provides administrative support to the case management team, gathers data, prepares reports and other presentation materials utilizing word processing, spreadsheet, or specialized software. Maintains files or relevant records for the department, screens phone calls and responds or routes routine inquiries from internal and external sources with appropriate correspondence or other messaging. Schedules and coordinates meetings and other group activities. Manage office supplies or other routine processes.

JOB QUALIFICATIONS

Education:

Completion of a high school diploma required. College level courses preferred.

Licensure:

N/A Experience:

Prefer previous work experience in a position of meeting and communicating with the public. Prefer 1 to 2 years experience in a hospital billing office, medical billing office or other health care setting.

Skills:

Excellent oral and written communication skills in order to effectively interact with internal and external customers. Knowledge of Medical Terminology and third party payer terminology. At least a minimal understanding of how CPT-4 and ICD-10 codes are used in health care billing. Intermediate proficiency in Microsoft Outlook, Word and Excel.

PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONS

Normal business office environment. Constant sitting and limited freedom of movement. Ability to work under conditions of frequent interruption. Poise, tact and courtesy is necessary when dealing with patients. Must be detail oriented. Must be able to assert initiative and judgment involved in classifying financial data and maintaining the normal flow of work.