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Insurance Payer Relations Associate

Prism Medical Products, LLC
Elkin, NC Full Time
POSTED ON 3/28/2025
AVAILABLE BEFORE 4/26/2025
Payer Relations Associate

At Prism Medical Products, we’re not just offering jobs—we’re building careers.

As part of our dynamic team, you’ll be empowered to make a meaningful impact every day. Whether you’re on the frontlines of patient care, operations, or support services, you’ll play a vital role in delivering the innovative and patient-centered solutions that define Prism CARE Solutions.

We’re searching for motivated individuals to elevate our expertise, support our mission, and help deliver outstanding results. Join us to thrive in a fast-paced, collaborative environment that values growth, compliance, and delivering an exceptional client experience. If you're ready for a fulfilling, long-term career that makes a real difference, we’d love to hear from you!

Prism CARES for Our Employees!

We don’t just say it—we show it. Prism CARES represents our commitment to combining access, resources, and expertise to support our employees while they support our patients and providers.

C - Cultivating growth and balance: We empower personal and professional development through comprehensive health benefits, generous paid time off, and a commitment to work-life harmony.

A - Access to industry-leading benefits: From 401k matching and tuition assistance to company-paid holidays and employee engagement events, we offer the tools and perks you need to succeed.

R - Resources for success: With tailored coaching, professional development programs, and training opportunities, we’re committed to helping you achieve your goals.

E - Expertise and support: You’ll benefit from unmatched onboarding, advanced learning resources, and insights developed from real-world experience.

Join Our Payer Relations Team at Prism!

As a Prism Payer Relations Associate, you’ll play a pivotal role in delivering excellence while navigating the fast-paced, ever-evolving landscape of insurance contracting. Your work will help to design and execute payer contracting strategies to meet the financial, operational, and strategic needs of the organization.

A day in the life of a Payer Relations professional:

  • Administrative tasks surrounding the pursuit of credentialing and contracting with government and commercial insurance payers, networks, or other forms of payers.
  • On going completion of payer credentialing and re-credentialing requirements in a comprehensive and timely manner.
  • Effectively establish payers for electronic claim submission and payment receipt.
  • Regularly update and contribute to multiple databases of contracted and non-contracted payers.
  • Maintain provider portal accounts and applicable databases via registration, password resets and problem-solving any login related issues.
  • Assist in problem solving of contracting and claims processing issues through collaboration with internal departments and contracted and non-contracted payers.
  • Support and serve as a resource for all department opportunities to include, but not limited to, health plan data base updates, health plan research and development, and health plan communications.
  • Adhere to company policies and procedures regarding employment, safety and compliance. Resolve any are of non-compliance immediately.
  • Perform other duties as requested by the Payer Relations Coordinator.

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