National Payer Relations Representative

Summary Statement

For more than a century Ottobock has pursued the mission of helping people living with limb loss or mobility challenges regain or maintain their freedom of movement. We do this through the development of leading prosthetic orthotic and wheelchair innovation and an unwavering commitment to delivering superior patient care experiences. As a growing healthcare company we continue to invest in both our people and new service offerings. With more than 10000 employees worldwide and 900 across North America we are dedicated to advancing the O&P industry and improving the lives of the people served by it.

We are looking for a National Payor Relations Representative to join our team in Phoenix AZ (hybrid schedule M-F 7:00AM-3:30PM) 4022 E Broadway Rd. Phoenix AZ 85040

This position is assigned to the National Payer Relations & Contracts Department (NPRC). NPRC ensures that required notifications documents and forms are communicated to payers promptly and by all requested due dates. This position will also ensure adherence to Otto Bocks accreditation requirements.

Great opportunity for someone dedicated and looking to start their career!

Duties & Responsibilities

Successful applicants must be able to perform the following essential functions with or without reasonable accommodation.

Provide support for business unit staff by resolving escalated inquiries
Submit network participation requests to insurance payors
Set up and maintain insurance portal access for business unit staff
Complete submit and track credentialing and recredentialing applications for business units including securing all required and supplemental documentation
Maintain uptodate demographic information for business units and submit required change notifications to contracted insurance payors
Request insurance payor fee schedules
Complete Payor Performance Checklists distribute them to business units and monitor progress
Update ContractWorks Payor Portfolios and other internal systems
Always deliver exceptional customer service
Participate in ongoing training programs to support continuous learning and professional development
Meet or exceed all department productivity and quality standards
Communicate issues questions and concerns to management promptly
Provide updates on current tasks and projects during biweekly management meetings
Adhere to all HIPAA and PHI regulations
Ensure all assigned workload is completed accurately and on time daily weekly and monthly
Identify and communicate opportunities to streamline processes and improve operational efficiency
Maintain a professional demeanor including adherence to dress code and appropriate use of company property
Perform other duties special projects and initiatives as assigned

Qualifications

Minimum 2 years of experience in the Healthcare Industry preferably in Payor Relations Credentialing or Medical Billing in orthopedics prosthetics and durable medical equipment
Ability to prioritize and manage multiple tasks to completion
Outstanding verbal and written communication skills
Exceptional organizational skills
Excellent communication/interpersonal skills
Professional and positive telephone manners
Excellent PC skills; typing of 45 wpm excellent ten-key skills
Proficient in using Microsoft Office Software
Must work onsite in Phoenix AZ office (3 days a week)

Benefits

• Medical
• Vision
• Dental
• Health savings accounts with employer contribution
• Flexible spending account options
• Company-paid life insurance policy
• Paid time off
• Company holidays
• Floating holidays
• 100% company-paid short & long-term disability
• 401k match up to 3.5%
• Paid parental leave