Payer Relations Associate Coordinator

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 Coordinator, 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...

A Day in the Life of a Payer Relations Professional

• Facilitates the execution of all facets within Payer Relations including, but not limited to credentialing, contracting, EDI, Zoho CRM, internal and external payer databases, communications, and administrative maintenance responsibilities.
• Ensures that newly executed or renegotiated contracts and amendments are reviewed, recorded and implemented accurately and within a reasonable timeframe.
• Monitors all aspects of payer relationships to ensure appropriate communication, contract compliance, and demographic/credentialing updates, including but not limited to address changes, ownership disclosures, licensure and insurance renewals, are accomplished in a comprehensive and timely manner.
• Oversees workflow and departmental projects, monitoring the delegation of designated tasks to ensure workload balance, planning and appointing project leads and/or project contributors, tracking and providing progress updates at regular intervals.
• Supervises and aids in problem solving of contracting and claims processing issues through collaboration with internal departments and healthcare payers.
• Supervises the preparation and delivery of monthly/quarterly reports to departments that are involved with or impacted by payer contracts.
• Develops and coordinates a dedicated team of professionals while offering staffing evaluations and recommendations when necessary to include, but not limited to, employee check ins, difficult conversations, training plans and workflow management for optimal efficiency and an healthy and collaborative team.
• Demonstrates professionalism and promotes positive interpersonal relations with all internal and external business contacts, representing the organization in a positive manner, and displaying personal commitment to achieving goals and objectives.
• Supports and serves as a resource for all department shortages and questions.
• Adheres to company policies and procedures regarding employment, safety, and compliance, and report any concerns of non-compliance in any area to your manager immediately.
• Performs other related duties as required and assigned by the Payer Relations Manager/Executive Director.

Education and Qualifications:

• High School Diploma or equivalent, Associates or Bachelor’s degree and 3-5 years of experience in administration, preferred OR any similar combination of education and experience.
• General knowledge of medical business organization and operations.
• General knowledge of government and commercial insurance regulations.
• General computer and internet navigation skills.
• Proficiency in Microsoft applications (Word, Excel, PowerPoint and Outlook).
• Effective verbal and written communication skills.
• Attention to detail in composing, typing, and proofing materials, establishing priorities and meeting deadlines.
• Ability to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands.
• Ability to professionally interact and communicate with individuals at all levels of the organization.

Benefits

Health, Dental, Vision, Life, Disability, 401K, Company Paid Holidays, Paid Time Off, Education Assistance Program, Community Involvement, Employee Engagement Opportunities.

Hours

Full-time: Monday-Friday, 8:00am-5:00pm

Location

Elkin, NC

Are you ready to elevate your career and make a meaningful impact in healthcare? If you’re passionate about driving results, thriving under pressure, and contributing to a mission-driven organization, we invite you to become part of Prism's dynamic team. Join us for a rewarding and impactful career where your expertise will make a difference every day!

At Prism, we’re not just a company; we’re a team dedicated to making a difference for our patients, our partners, and our employees. Apply now and discover how a job at Prism can become the career of your dreams.