Payor Relations Specialist

Verse Medical•New York, NY

1d•$80,000 - $90,000•Hybrid

About The Position

Verse Medical is a Durable Medical Equipment (DME) solution for healthcare providers and insurance companies (payors). As our Payor Relations Specialist, you’ll own processes for Verse’s Medicaid enrollments, commercial payor credentialing, and day-to-day operations and relationship management with contracted payor partners.

Requirements

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.

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

Benefits

Meaningful Compensation: $80,000 to $90,000 base salary + $5,000 target annual bonus
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.
Career Growth: You'll have opportunities for rapid career advancement in a company that's at a major inflection point. We want you to grow with us.

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