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Payer Relations Specialist
Bridgeview Eye Partners. Maintain and update payer contract rates in billing systems .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Expertise in managing payer contracts, including validation, documentation, and reconciliation, with a strong focus on revenue cycle functions and collaboration across billing and coding teams. Proficient in utilizing advanced Excel for data analysis and reporting.
Highest-signal resume keywords
Payer Contract ManagementRevenue Cycle FunctionsAdvanced Excel SkillsHealthcare AdministrationData Reconciliation
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contract Rate ValidationData AnalysisAuditingReimbursement TermsFee Schedules
Soft Skills
CollaborationAttention to DetailProblem Solving
Tools & Technologies
Microsoft Office SuiteBilling Systems
Industry Keywords
HealthcarePatient AccessFinancial ClearanceClaims Processing
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- Part-time employment
- Remote work arrangement