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Salary
Are you looking for a rewarding career as a Payor Services Specialist? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S.
Attractive pay
- $19.00 - $25.00 per hour
Enjoy great perks and benefits
- A full benefits package with choice of affordable PPO or HSA medical plans.
- Paid time off.
- Up to $1,300 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan.
- Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa/massage/salon services, gym memberships, fitness classes, sports, hobbies, pets and more.*
- Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program.
- 401(k) with a company match.
- Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave.
- Fleet vehicle program** and mileage reimbursement. And more.
Please note: Benefit eligibility can vary by position depending on shift status.
- To participate, you must be enrolled in an Amedisys medical plan.
**For full-time caregivers meeting certain requirements.
Don’t just take it from us
“After working for Amedisys for almost 5 years I feel that from the CEO on down, there is a culture of sincerely wanting to be a great employer - and it shows. The pay is above average, the benefits are great, and the paid time off is generous.”
- Amedisys employee
Why Amedisys
Amedisys is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system. With a focus on compassionate, patient-centered care, you would be joining a team of professionals committed to improving the lives of those they serve.
Responsibilities
Responsibilities
Completes and submits payor credentialing and re-credentialing applications, pulls required regulatory licensures and documents and works closely with the Regulatory, Risk Management, and Clinical Risk Management departments to resolve documentation issues.
- Follows up with payors on the status of approval, effective date, demographic load and notifies the appropriate internal stakeholders of status.
- Analyzes care center demographic data through audits to ensure accuracy in the payor systems.
- Notifies payor in payor-specific format and follows up with payors to ensure timely and accurate system updates, escalates with colleagues, when necessary, to mitigate downstream payment issues.
- Maintains accurate rosters for each payor, updates/notifies payor and coordinates with internal stakeholders as required.
- Monitors the managed care email box and creates and assigns helpdesk tickets as appropriate.
- Accurately documents credentialing or recredentialing status in the required shared database and accurately stores documentation for future reference and/or follow up.
- Performs other duties as assigned.
Qualifications
Requirements
- High school diploma or equivalent.
- Three years of experience in a medical office, hospital or managed care setting (health plan) contributing to or completing or processing credentialing applications and required documents of providers.
- Ability to effectively problem solve, prioritize and communicate. Two to three years of experience with data entry, effectively demonstrating high quality and attention to detail and accuracy.
Preferred
- Post-secondary education or training in business-related field.
- Experience in managed care and/or credentialing.
Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience.
Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.
