Payor Relations Administrator

Millennium Health•San Diego, CA

5h•$23 - $27

About The Position

Millennium Health LLC is an accredited specialty laboratory with more than a decade of experience in medication monitoring and drug testing services, helping clinicians monitor the use and misuse of prescription medications and illicit drugs. The testing is used by healthcare professionals to obtain objective information about patients’ recent use of prescription medications and/or illicit drugs and helps monitor the effectiveness of treatment plans. The Payor Relations Administrator works alongside market access and the revenue cycle management team. They are responsible for completing payor applications of interest, credentialing, revalidations, and enrollments with contracted and non-contracted payors. The Payor Relations Administrator will work interdepartmentally and ensure as a primary responsibility there are no impacts to revenue based on unfulfilled payor enrollment requests. The following are intended to be examples of the accountabilities for which the person in this position is responsible. This position description is not intended to be complete or all-inclusive and does not preclude management from assigning other or related functions for which the individual has demonstrated competency through performance.

Requirements

High School Diploma or GED minimum requirement
Insurance basics, PPO, HMO, POS, Capitation, Workers Comp, Mva
Government programs such as Medicare, Medicare HMO, Medicaid, Medicaid HMO, Tricare, Veterans Affairs, Blue Cross Blue Shield Federal
Excel, create and maintain spreadsheets.
Word.
Proficient in 10 key.
Exceptional Customer Service.
Ability to communicate clear and concise information.
Typing speed of 40 wpm

Nice To Haves

Associate's degree or higher highly preferred
Certificate or degree in Health Care Management Field strongly recommended.
Minimum 1 year billing experience desired
Strong organizational skill set and effectively builds rapport with payors and team members.
Strong communication skills with the ability to communicate clearly both verbally and in writing.
Self-starter who is accountable, requires minimal direction and supervision; a person who is open to new ideas; and a creative and flexible individual who is comfortable training and working in a remote setting.
Set and maintain multiple priorities in an environment with shifting while still meeting strict deadlines and turnaround time.

Responsibilities

Responsible for processes that will promote department efficiency and present revenue opportunities.
Responsible for identifying, completing, and communicating payor’s procedures in relation to enrollment.
Supports compliance initiatives through monitoring payors and working with the leadership team.
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations and compliance in relation to billing, collections, and release of information.