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Title

Insurance Payer Relations Associate 

Description

Payer Relations Associate

At Prism Medical Products, we’re not just offering jobs—we’re building careers.

As part of our dynamic team, you’ll be empowered to make a meaningful impact every day. Whether you’re on the frontlines of patient care, operations, or support services, you’ll play a vital role in delivering the innovative and patient-centered solutions that define Prism CARE Solutions.

We’re searching for motivated individuals to elevate our expertise, support our mission, and help deliver outstanding results. Join us to thrive in a fast-paced, collaborative environment that values growth, compliance, and delivering an exceptional client experience. If you're ready for a fulfilling, long-term career that makes a real difference, we’d love to hear from you!

Prism CARES for Our Employees!

We don’t just say it—we show it. Prism CARES represents our commitment to combining access, resources, and expertise to support our employees while they support our patients and providers.

C - Cultivating growth and balance: We empower personal and professional development through comprehensive health benefits, generous paid time off, and a commitment to work-life harmony.

A - Access to industry-leading benefits: From 401k matching and tuition assistance to company-paid holidays and employee engagement events, we offer the tools and perks you need to succeed.

R - Resources for success: With tailored coaching, professional development programs, and training opportunities, we’re committed to helping you achieve your goals.

E - Expertise and support: You’ll benefit from unmatched onboarding, advanced learning resources, and insights developed from real-world experience.

Join Our Payer Relations Team at Prism!

As a Prism Payer Relations Associate, you’ll play a pivotal role in delivering excellence while navigating the fast-paced, ever-evolving landscape of insurance contracting. Your work will help to design and execute payer contracting strategies to meet the financial, operational, and strategic needs of the organization.   

A day in the life of a Payer Relations professional:

  • Administrative tasks surrounding the pursuit of credentialing and contracting with government and commercial insurance payers, networks, or other forms of payers.
  • On going completion of payer credentialing and re-credentialing requirements in a comprehensive and timely manner.
  • Effectively establish payers for electronic claim submission and payment receipt.
  • Regularly update and contribute to multiple databases of contracted and non-contracted payers.
  • Maintain provider portal accounts and applicable databases via registration, password resets and problem-solving any login related issues.
  • Assist in problem solving of contracting and claims processing issues through collaboration with internal departments and contracted and non-contracted payers.
  • Support and serve as a resource for all department opportunities to include, but not limited to, health plan data base updates, health plan research and development, and health plan communications.
  • Adhere to company policies and procedures regarding employment, safety and compliance. Resolve any are of non-compliance immediately.
  • Perform other duties as requested by the Payer Relations Coordinator.
 
Position Requirements
Education/Experience/Knowledge Requirements:
  • High School Diploma or equivalent, Associate or bachelors’ degree in relevant field preferred.
  • General knowledge of medical business organization and operations.
  • Up to date with computer navigation comprehension to fully execute all job functions.
  • Professional and effective verbal and written communication skills with both internal and external partners.
  • Must be able to work in a fast-paced environment.

Benefits

Health, Dental, Vision, Life, Disability, 401K, Company Paid Holidays, Paid Time Off, Education Assistance Program, Community Involvement, Employee Engagement Opportunities.

Hours

Full-time: Monday-Friday, 8:00am-5:00pm

Location

In office - Elkin, NC

 

Are you ready to elevate your career and make a meaningful impact in healthcare? If you’re passionate about driving results, thriving under pressure, and contributing to a mission-driven organization, we invite you to become part of Prism's dynamic team. Join us for a rewarding and impactful career where your expertise will make a difference every day!

At Prism, we’re not just a company; we’re a team dedicated to making a difference for our patients, our partners, and our employees. Apply now and discover how a job at Prism can become the career of your dreams.

 
Full-Time/Part-Time Full-Time  
Shift Days  
Position Payer Relations Associate  
Exempt/Non-Exempt Non-Exempt  
About the Organization PRISM Home Medical Supply Specialists provides seamless delivery of wound care, urological and ostomy supplies. PRISM is one of the fastest growing Home Medical Supply Specialists in the industry and has a reputation of excellence for dedicated service to patients, health care professionals and industry partners.

PRISM welcomes talented, motivated, and progressive-thinking professionals to contribute to the company's reputation of excellence! As one of the fastest growing companies in the industry, PRISM offers employees the opportunity to establish a growing and successful career. PRISM's comprehensive training program and autonomous work environment gives individuals the ability to develop personally and professionally. As PRISM continues to grow, we are constantly looking for dynamic, top talent to add to our great team!
 
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.  

This position is currently accepting applications.

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