Healthcare Pricing – Direct Pay Specialist

Job not on LinkedIn

🔥 1 hour ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 12%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• Jobs at this company usually fill in 30 days.
• No salary listed.

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Supplied Talent

WebsiteLinkedInAll Job Openings

2 - 10 employees

Founded 2023

🎯 Recruiter

👥 HR Tech

🤖 Artificial Intelligence

Recruitment • HR Tech • Artificial Intelligence

Supplied Talent is a recruiting firm that combines 20 years of recruiting expertise with TRITON, a proprietary AI agent that searches 120+ job-related resources to surface qualified passive and active candidates quickly. The company provides pre-vetted shortlists in 48–72 hours, emphasizes sourcing passive talent not visible on job boards, and focuses on senior technical, executive, and healthcare hires. Supplied Talent is based in Dallas and serves clients globally, positioning itself as an AI-powered recruitment partner for HR leaders and growing companies.

📋 Description

• Review clinical referrals, orders, and chart notes to verify CPT, HCPCS, and ICD-10 codes • Identify complete episode costs, separating or bundling professional, facility/ASC, anesthesia, pathology, laboratory, and DME charges • Contact specialist offices, imaging centers, laboratories, and surgical facilities to obtain written self-pay or prompt-pay fee schedules • Build Provider Option Slates detailing pricing, location, availability, and payment terms for Care Navigators • Cross-check services and CPT codes against employer or sponsor health plan guidelines and clinical criteria • Negotiate cash rates, global surgical/procedure bundles, and Single Case Agreements with clinics, surgery centers, and hospitals • Benchmark provider quotes against Medicare baselines, clinic fee schedules, and historical fair-market cash rates • Serve as the pricing and billing resource for Care Navigators on complex referrals • Troubleshoot point-of-service billing issues so patients are not asked to pay out of pocket or turned away • Execute timely direct payments for specialist care, imaging, therapies, and outpatient procedures

🎯 Requirements

• 2–4+ years of experience in healthcare revenue cycle, medical billing/coding, upfront patient financial counseling, surgical/procedure cost estimation, direct provider contracting, or TPA/self-funded plan pricing • Strong working knowledge of CPT, HCPCS, and ICD-10 codes • Ability to read a clinical order and identify which CPT codes apply • Understanding of global surgical periods, common modifiers, and facility vs. professional billing splits • Experience requesting or building self-pay estimates, prompt-pay discounts, fee schedules, or Single Case Agreements (SCAs) • Comfort executing point-of-service payments via virtual credit cards, ACH, checks, or payment portals • Experience reconciling itemized superbills and receipts • Proven ability to negotiate with billing managers and revenue cycle directors and secure clear written rate confirmations quickly • Ability to juggle high-volume daily task queues, including STAT same-day check-ins and multi-day pricing research, in an EHR/ticketing system • Active coding or revenue cycle certification (CPC, CPB, CCS-P, CRCR, or equivalent) or equivalent hands-on specialty clinic/ASC financial estimation experience • Experience in Direct Primary Care (DPC), Direct Contracting, Reference-Based Pricing (RBP), surgical bundles, or self-funded employer health plans • Background in multi-specialty outpatient settings, including orthopedics, GI, cardiology, general surgery, advanced radiology, or outpatient surgery centers • Bilingual English/Spanish is a plus

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