Payer Relations

Join us at PRISM for an exciting new career opportunity!

Caring Team Environment where YOU matter

PRISM is one of the fastest growing home medical supply companies in the HME industry. With a national reach and remarkable growth, we provide immense opportunities for career development and advancement. Our commitment to provide the highest level of service has earned us a reputation of excellence with our patients, healthcare professionals and industry partners.

PRISM's Payer Relations Department is responsible for managing the integral relationships with health insurance companies nationwide and oversees the administration of insurance payer contracts to ensure compliance, improve revenue streams, mitigate administrative barriers, and resolve payer related issues. We also support PRISM by being the internal source of information related to new health insurance plans entering the market, health plan policies and guidelines, and other relevant health plan insights by managing internal databases, delivering monthly reports, and employing effective communication strategies. If you would enjoy a stimulating work environment that involves problem-solving, data integrity, negotiating, collaboration and teamwork to ensure we provide the best possible care and service to our patients nationwide, come join PRISM's Payer Relations Team for an exciting and growing career!

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.

What we offer you:

• A competitive salary
• A comprehensive list of health benefits options to choose from
• Employer match to 401k contributions
• Robust training programs on professional, technical and leadership skills
• Paid Holidays
• Paid Time Off
• Employee Referral Program
• Education Reimbursement
• Community outreach opportunities

and more!

Why members of #teamPRISM enjoy working here:

Prism has a close-knit culture where everyone knows your name and youre not just a number.

Its a great family environment and each part of the company works together for the greater good of the patients.

Prism is the best company I have ever worked for. I love it here because there are so many growth and development options for me.

I learn something new every day and I love the excellent values the company stands behind and upholds to patients and clients every day. BEST PLACE TO WORK!

Find your career home! Apply today!