Payor Relations Specialist

Verse Medical • New York City, NY

17h • $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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 11-50 employees