Payor Relations Specialist jobs in United States
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Verse Medical · 1 month ago

Payor Relations Specialist

Verse Medical is a company focused on improving healthcare delivery through modern software solutions. As a Payor Relations Specialist, you will manage Medicaid enrollments, commercial payor credentialing, and maintain relationships with payor partners to ensure high-quality care for patients.

ComputerHealth CareInsurance

Responsibilities

Own the credentialing process when Verse contracts with payors - complete and submit all relevant company information, prepare contracts for signature, etc
Collaborate with payors and Verse’s internal revenue cycle management team to confirm all required manuals, fee schedules, and other materials have been transmitted upon contract completion
Attend payor orientation meetings and schedule regular check-ins with contracted commercial payors
Own Verse’s payor relations email inbox and triage relevant messages/actions with other members of the payor relations and revenue cycle management team
Monitor enrollment statuses and renew Verse’s Medicaid enrollments across all 51 state Medicaid programs
Enroll Verse in new state-sponsored programs that expand our patient population
Monitor relevant policy changes at a state and national level
Represent Verse to payors in emails, phone calls, and video calls
Assist with commercial payor business development efforts

Qualification

CredentialingPayor relationsAttention to detailCommunication skillsCritical thinkingProject managementAdaptability

Required

3+ years in a relevant role (e.g. credentialing, contracting, or payor relations at a healthcare provider; or in provider relations at a payor); ancillary provider experience a big plus
Zero defect mindset: Exceptional attention to detail and organization
Excellent written and spoken communication
Consultative and adaptable, willing to take feedback and iterate accordingly
Strong critical thinking and analytical skills
Experience managing long-term projects

Benefits

Comprehensive Health & Wellness: We cover 100% of your health insurance premium and provide access to high-quality dental and vision insurance plans for you and your dependents.
Plan for the Future: We offer a 401(k) plan to help you save for your future. At this time, the company does not offer a 401(k) match.

Company

Verse Medical

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Verse Medical provides and delivers the lowest prices on health products with fantastic service.

Funding

Current Stage
Growth Stage
Total Funding
$3M
Key Investors
Abstract
2021-03-15Seed· $3M
2020-01-01Seed
2018-08-22Pre Seed

Leadership Team

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Dhaivat Pandya
CEO
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Company data provided by crunchbase