Payer Relations Specialist

Job not on LinkedIn

🔥 13 hours ago

🏈 Ohio – Remote

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⏱ Part Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 12%

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Logo of Bridgeview Eye Partners

Bridgeview Eye Partners

501 - 1000 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Bridgeview Eye Partners is a physician-led management services organization that partners with independent eye care practices to deliver full-scope, integrated eye care. It offers administrative support, strategic growth resources, financial backing, and access to ambulatory surgery centers and provider networks while preserving each practice's brand and clinical autonomy. Headquartered in Wabash, Indiana, Bridgeview focuses on improving patient outcomes and operational efficiency across rural and urban communities.

📋 Description

• Maintain and update payer contract rates in billing systems • Review, validate, and input payer contract rates to reflect negotiated agreements, fee schedules, and reimbursement terms • Flag discrepancies between contracts and system data for correction • Conduct periodic audits and reconciliation of contract rates against source contract documents • Identify and resolve gaps or errors affecting claim reimbursement or revenue recognition • Document payer contracts, amendments, and rate modifications • Track implementation dates and maintain a centralized repository for contract versions • Collaborate with billing, coding, and accounts receivable teams on rate changes, policy updates, and system modifications affecting claims processing or payment posting

🎯 Requirements

• Bachelor's degree in Business, Healthcare Administration, or related field • Demonstrated ability to use PCs and Microsoft Office suites with advanced Excel capabilities • 3+ years of experience in healthcare patient access, financial clearance, or revenue cycle functions

🏖️ Benefits

• Part-time employment • Remote work arrangement

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