What are the responsibilities and job description for the Payer Relations and Systems Specialist position at DASCO Home Medical Equipment?
Description
DASCO is growing! Voted one of the 2019, 2020, 2021 and 2022 top places to work in Columbus CEO magazine. Join Us!
Our benefits include: competitive compensation based on industry standards, an excellent benefits package, which includes: generous 401(k) match with immediate vesting, growth opportunities, health insurance benefit opportunities which include Medical, Dental, Vision, excellent PTO which increases based on tenure, holiday pay, and a fantastic company culture!
Summary
The Payer Relations and Systems Specialist is responsible for projects related to the company’s licensure, payer contracts, and the Brightree system. This position also assists the Payer Relations and Systems Manager with any Brightree conversions related to new acquisitions and mergers as well as all other duties assigned while maintaining compliance with all applicable rules and regulations.
Essential Functions
REQUIRED EDUCATION AND/OR EXPERIENCE:
This is a full-time position. May include both in-office and at home flexibility.
Supervisory Responsibility
None
Work Environment
This job operates in a professional office environment and remotely. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
The employee is generally required to sit; frequently stands, may climb or balance; and stoop, kneel, crouch or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include both close and distance vision, color and peripheral vision, depth perception and ability to adjust focus.
Travel
Not required
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Eeo Statement
DASCO provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, DASCO complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
DASCO expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of DASCO’s employees to perform their job duties may result in discipline up to and including discharge.
Agreement
Employee signature below constitutes employee's understanding of the requirements, essential functions and duties of the position.
EEO
#ind100
DASCO is growing! Voted one of the 2019, 2020, 2021 and 2022 top places to work in Columbus CEO magazine. Join Us!
Our benefits include: competitive compensation based on industry standards, an excellent benefits package, which includes: generous 401(k) match with immediate vesting, growth opportunities, health insurance benefit opportunities which include Medical, Dental, Vision, excellent PTO which increases based on tenure, holiday pay, and a fantastic company culture!
Summary
The Payer Relations and Systems Specialist is responsible for projects related to the company’s licensure, payer contracts, and the Brightree system. This position also assists the Payer Relations and Systems Manager with any Brightree conversions related to new acquisitions and mergers as well as all other duties assigned while maintaining compliance with all applicable rules and regulations.
Essential Functions
- Creating and maintaining Brightree files which includes price files and insurance files, as well as web portals for insurance companies
- Process ERN/EFT applications
- Completing new and renewal insurance applications for new and existing branch locations. As well as communicating with insurances via phone or email regarding contract network, licensure and fee schedules.
- Ensure timely request of new and renewal licensure requirements as needed for state and insurance regulations for all branch locations.
- Perform all duties and responsibilities in a timely and effective manner in accordance with established company policies to achieve the overall objectives of this position.
- Maintain a favorable working relationship with other company employees to foster and promote a cooperative and harmonious working climate which will be conducive to maximum employee morale, productivity, efficiency, and effectiveness.
- Keep immediate supervisor promptly and fully informed of all problems or unusual matters of significance and take prompt corrective action where necessary or suggest alternative courses of action which may be taken.
- Other duties as assigned by management.
REQUIRED EDUCATION AND/OR EXPERIENCE:
- High school diploma, GED and/or one year credentialing experience
- Data Entry experience and time management
- Microsoft Excel
- Reporting and data analysis
- Experience working with insurance companies, billing and document management
- Proficiency in Microsoft Office suite.
- Exceptional time management
- Deadline oriented
- Attention to Detail
- Ability to work individually or with a team
- Ability to perform outreach via phone, email or other means
- Creative with ideas to improve processes
- Results driven
- Stress management
This is a full-time position. May include both in-office and at home flexibility.
Supervisory Responsibility
None
Work Environment
This job operates in a professional office environment and remotely. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
The employee is generally required to sit; frequently stands, may climb or balance; and stoop, kneel, crouch or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include both close and distance vision, color and peripheral vision, depth perception and ability to adjust focus.
Travel
Not required
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Eeo Statement
DASCO provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, DASCO complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
DASCO expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of DASCO’s employees to perform their job duties may result in discipline up to and including discharge.
Agreement
Employee signature below constitutes employee's understanding of the requirements, essential functions and duties of the position.
EEO
#ind100