Datavant
Join Datavant, the leading data platform company in health data exchange, where we empower every healthcare decision with the right data at the right time. Our vision is driven by a commitment to make health data secure, accessible, and informative, ultimately enabling better health decisions. Trusted by top life sciences companies, government agencies, and healthcare providers alike, we tackle complex healthcare challenges with innovative technology solutions.
As a Payer Collections Specialist, you will play a vital role in our Payer Collections team, managing payer accounts diligently and resolving escalated issues to ensure timely payment processing. This role necessitates a solid understanding of payer billing procedures, healthcare data flows, and contract specifics. You’ll work closely with insurance firms and health plans to address discrepancies, settle past due balances, and enhance revenue cycle efficiency.
Duties & Responsibilities
Handle communications with insurance companies and health plans regarding billing and payment activities. Investigate payer account histories using systems such as Chartfinder, ARCH, and payer portals to resolve discrepancies. Reconcile remittances, adjustments, and credits to invoices for month-end close activities. Collaborate with payer representatives and internal teams (Finance Ops, Account Management) to handle delinquent or disputed accounts. Escalate complex or unresolved issues to senior collectors or the Collections Supervisor as needed. Document all collection actions meticulously for compliance and audit purposes. Propose enhancements to payer billing and collection procedures. Promote the adoption of electronic invoicing and payment methods to minimize manual processes and delays. Qualifications
Required: 3+ years of experience in collections, billing, or finance operations, particularly within healthcare or payer settings. Strong analytical and problem-solving skills to address account and payment discrepancies. Proficiency in Microsoft Excel, including pivot tables and lookup functions. Exceptional verbal and written communication abilities to interact effectively with external payer representatives. Adept at managing competing priorities in a fast-paced environment while ensuring accuracy. Preferred: Experience with payer collections, risk adjustment, or healthcare payment processes. Familiarity with contract-based billing and payer-specific invoicing requirements. An Associate's degree in Business, Finance, Healthcare Administration, or a related field. At Datavant, we cherish the diversity of our team and are dedicated to fostering a high-performance culture where everyone belongs and thrives. We are proud to be an Equal Employment Opportunity employer and value applicants from all backgrounds. Our competitive total rewards package reflects our commitment to innovation in healthcare through exceptional products and services. The estimated total cash compensation for this role ranges from $19.60 to $23.08 USD. Many of our clients require health screenings and proof of vaccinations, such as the flu shot and COVID-19, after an offer of employment is made. Requests for exemptions will be handled on a case-by-case basis by Human Resources. This position does not qualify for employment sponsorship. If you require accommodation during the job application process due to a disability, please select the
Handle communications with insurance companies and health plans regarding billing and payment activities. Investigate payer account histories using systems such as Chartfinder, ARCH, and payer portals to resolve discrepancies. Reconcile remittances, adjustments, and credits to invoices for month-end close activities. Collaborate with payer representatives and internal teams (Finance Ops, Account Management) to handle delinquent or disputed accounts. Escalate complex or unresolved issues to senior collectors or the Collections Supervisor as needed. Document all collection actions meticulously for compliance and audit purposes. Propose enhancements to payer billing and collection procedures. Promote the adoption of electronic invoicing and payment methods to minimize manual processes and delays. Qualifications
Required: 3+ years of experience in collections, billing, or finance operations, particularly within healthcare or payer settings. Strong analytical and problem-solving skills to address account and payment discrepancies. Proficiency in Microsoft Excel, including pivot tables and lookup functions. Exceptional verbal and written communication abilities to interact effectively with external payer representatives. Adept at managing competing priorities in a fast-paced environment while ensuring accuracy. Preferred: Experience with payer collections, risk adjustment, or healthcare payment processes. Familiarity with contract-based billing and payer-specific invoicing requirements. An Associate's degree in Business, Finance, Healthcare Administration, or a related field. At Datavant, we cherish the diversity of our team and are dedicated to fostering a high-performance culture where everyone belongs and thrives. We are proud to be an Equal Employment Opportunity employer and value applicants from all backgrounds. Our competitive total rewards package reflects our commitment to innovation in healthcare through exceptional products and services. The estimated total cash compensation for this role ranges from $19.60 to $23.08 USD. Many of our clients require health screenings and proof of vaccinations, such as the flu shot and COVID-19, after an offer of employment is made. Requests for exemptions will be handled on a case-by-case basis by Human Resources. This position does not qualify for employment sponsorship. If you require accommodation during the job application process due to a disability, please select the