Payer Relations Analyst
VirtualVocationsRacine, Wisconsin, United States1 day ago
Job type
- Full-time
Job description
A company is looking for a Payer Relations Analyst.
Key Responsibilities
Build and manage payer relationships, translating requirements into user stories for development
Serve as a subject matter expert on prior authorizations and maintain compliance with regulatory requirements
Collaborate with cross-functional teams to ensure successful implementation and testing of payer connections
Required Qualifications
Bachelor's degree in a related field
Experience with healthcare providers, payers, or RCM vendors
Familiarity with Agile Scrum and SAFe development methodologies
Knowledge of healthcare revenue cycle management related to prior authorizations
Understanding of healthcare EDI transactions, including 278 and 837 series
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Analyst • Racine, Wisconsin, United States
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