Payer Contracting Specialist
Payer Contracting Specialist
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$ 65000 - 75000
1 Vacancy
Job Description
Overview
At Anne Arundel Dermatology we give exceptional care to our patients and to eachother.
Patient First Caring Accountability Trust One Team Growth
This position is remote but preference will be given to qualified candidates who live within Maryland Northern/Central VA or Southern PA. MUST live within the Eastern Time Zone.
Founded 50 years ago with a mission to provide the highest quality and full spectrum of medical surgical and esthetic skin care services to each and every one of its patients Anne Arundel Dermatology has assembled the finest group of dermatologists in the MidAtlantic and Southeastern states. With 250 clinicians and 110 locations in 7 states were thriving growing and looking to add talented individuals to our team!
Why join Anne Arundel Dermatology
We are committed to continual training and education for our physicians and staff. We are on top of the latest developments in dermatology including ongoing research emerging treatments new medications and prevention methods. You can find more than just a job with Anne Arundel Dermatology. We believe in providing our new associates with intensive hands on training and longterm career growth opportunities from within.
Job Summary: The Payer Contracting Specialist is responsible for supporting the negotiation of payer contracts ensuring compliance with payer rate agreements and maintaining fee schedules in the companys systems. This role requires strong analytical skills attention to detail and the ability to identify and resolve underpayments or discrepancies in payer rates.
Salary range: $k
Responsibilities
Duties/Responsibilities:
- Assist in the preparation and negotiation of payer contracts to secure favorable reimbursement rates and terms.
- Collaborate with internal teams including legal finance revenue cycle and operations to ensure alignment between payer contracts and business objectives.
- Conduct a thorough analysis of payer reimbursement rates to verify compliance with contractual agreements.
- Detect underpayments and discrepancies in payer rates and work closely with the billing and accounts receivable teams to resolve them.
- Track payer performance against contractual agreements and generate reports for leadership.
- Maintain and update payer fee schedules within company systems to ensure accurate reimbursement.
- Summarize payer rate trends and develop reports to identify opportunities for cost recovery or rate adjustments.
- Serve as a primary point of contact for inquiries related to payer contracts and rate adjustments.
- Maintain accurate contract files and ensure periodic reviews for compliance with corporate policies.
- Other duties as assigned by management.
Qualifications
Required Skills/Abilities:
- Strong understanding of payer reimbursement methodologies and fee schedule management.
- Excellent analytical and problemsolving skills with the ability to interpret payer contracts.
- Proficiency in Microsoft Excel and contract management systems.
- Strong communication and interpersonal skills to collaborate across departments and with external payers.
Physical Requirements:
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift 15 pounds at times.
Licensure/Certifications/Education
Education and Experience:
- Bachelors degree in business healthcare administration finance or a related field (or equivalent experience).
- Minimum of 3 years of experience in payer contracting revenue cycle management or healthcare finance.
- Experience working in a multistate healthcare environment (dermatology experience a plus).
- Knowledge of billing and coding systems (e.g. Modernizing Medicine Epic Cerner) preferred.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
