Senior Payer Relations Specialist

Adaptivebiotechnologies

Remote
Base: $80,200 - $120,400; bonus/equity: equity gra...
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Payer follow-up and appeals
Analyze payor reimbursement issues
Revenue cycle provider collaboration
** Adaptive Biotechnologies is seeking a Senior Payer Relations Specialist to enhance collections from insurance companies by managing claims follow-up and appeals. The ideal candidate will have extensive experience in billing, coding, and reimbursement processes within the healthcare sector, particularly in CLIA laboratory services. **

Job Summary

  • The Sr Payer Relations Specialist will focus on increasing collections from insurance companies by effectively managing payor follow-up and appeals of denied claims.
  • This position will work in collaboration with the Market Access team, other cross-functional partners and Adaptive’s revenue cycle providers to develop and implement strategies for achieving maximal reimbursement and cash recovery from commercial payors.
  • Adaptive is committed to building diverse, equitable, and inclusive teams across our organization.

Matching Summary

Match Score: 75

** Adaptive Biotechnologies is seeking a Senior Payer Relations Specialist to enhance collections from insurance companies by managing claims follow-up and appeals. The ideal candidate will have extensive experience in billing, coding, and reimbursement processes within the healthcare sector, particularly in CLIA laboratory services. **

Salary

Base: $80,200 - $120,400; Bonus/Equity: equity grant, bonus eligible; Benefits: Not specified

Skills & Requirements

Must-have

  • Payer follow-up and appeals
  • Analyze payor reimbursement issues
  • Revenue cycle provider collaboration
  • Stay current with payor policy changes
  • Medical billing and coding practices

Nice-to-have

  • Collaborate with bright, curious colleagues
  • Make a difference in people's lives
  • Apex of innovation and application

Key Requirements

  • 5-7+ years billing, coding, reimbursement experience
  • CLIA laboratory services sector experience
  • Strong knowledge of Medicare, Medicaid, private insurance
  • Proficient knowledge of CMS guidelines
  • Proficient knowledge of use of coding modifiers

Work Rights

Not specified

Tailored Resume

Cover Letter