What are the responsibilities and job description for the Payer Relations Specialist position at Endodontic Practice?
Job Details
Description
Payor Relations Specialist – Remote Position
About Us:
Endodontic Practice Partners (EPP) is a nationwide network of private endodontic practices focused on delivering exceptional patient care and clinical quality. We empower our partner practices to maintain their individuality while providing the necessary resources and support to help them achieve their goals. Our commitment to relationships, integrity, and compassionate care helps our practices thrive in today’s dynamic healthcare environment.
We are currently seeking a Payor Relations Specialist to join our team in a remote role. This position will play a critical role in managing relationships with insurance companies and third-party payers to ensure timely and accurate reimbursement for services provided.
Key Responsibilities:
- Assist the Director of Payer Relations with data entry, analysis, and reporting.
- Read, interpret, and comprehend contracts related to payer agreements.
- Deliver presentations to partner practices regarding payer processes and reimbursement.
- Collaborate effectively with EPP teams across various functions, including operations, billing, and revenue cycle management.
- Build and maintain strong, positive relationships with payer representatives.
- Analyze reimbursement data to identify trends and opportunities for improvement.
- Serve as the point of contact for payers and internal stakeholders regarding reimbursement issues.
- Maintain confidentiality in accordance with EPP guidelines and payer agreements.
- Contribute to other team projects as needed, playing a key role in the success of the department.
Required Skills & Abilities:
- Familiarity with healthcare billing and coding processes.
- Ability to interpret complex contract language and legal documents.
- Strong organizational skills with an eye for detail and accuracy.
- Excellent problem-solving abilities, with experience identifying trends and developing solutions.
- Proficiency in Microsoft Excel and PowerPoint.
- Knowledge of EndoVision and the ability to run reports; TDO knowledge is a plus.
- Strong mathematical skills and ability to analyze large data sets.
- Excellent communication, leadership, and conflict resolution skills.
- Ability to work independently with self-motivation and strong time management.
- Willingness to learn and adapt to new payer processes and systems.
Education & Experience:
- Minimum of 5 years of experience in a medical or dental leadership role, preferably in payer relations.
- Bachelor’s degree preferred.
- In-depth knowledge of healthcare reimbursement processes and payer interactions.
- Proficiency in data entry, analysis, and reporting.
Physical Requirements:
- Prolonged periods of sitting at a desk and working on a computer.
- Ability to lift up to 15 pounds occasionally.
- Visual acuity for reading records and documents.
Why Join EPP?
At EPP, we value our team members and offer a competitive compensation package that includes:
- Health insurance, life insurance, paid & sick time off, holiday pay, and 401(k) with matching.
- Dental & vision insurance, disability insurance, Health Savings Account (HSA), Flexible Spending Account (FSA), Employee Assistance Program (EAP), and Employee Discount Program.
- A welcoming and inclusive workplace culture.
- Opportunities for professional development and advancement in a growing, nationwide organization.
To Apply:
If you're looking for a remote opportunity to work in a supportive and dynamic environment, apply today to join Endodontic Practice Partners! We are excited to bring on a dedicated and skilled Payer Relations Specialist who is ready to make a difference.
Endodontic Practice Partners is an Equal Opportunity Employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the role.
Qualifications
