Payer Fee Schedule Specialist
: Job Details :

At all levels, working at National Seating & Mobility provides the opportunity to directly impact our client's lives by giving them self-reliance and independence. Our teams are comprised of passionate individuals, dedicated to providing the best care to each client. We focus on abilities by leveraging technology and creating mobility solutions that are as unique as our client's needs.Working at National Seating & Mobility is an opportunity to build a meaningful career, while leaving a lasting impact on the lives of those we serve. Located in more than 40 states, we strive for diversity and offer an array of benefits including 401k, company paid Long Term Disability, and tuition reimbursement.We are looking to grow our enthusiastic and engaged team at NSM. Submit your resume and join a group of enthusiastic professionals dedicated to changing lives.Duties and Responsibilities / Essential Functions:

Perform analysis of medical payment rates and fee schedules as needed.

Ensure fee schedules are loaded according to the provider contract, including analysis of implemented contracts.

Responsible for researching and determining the proper fee schedule. This includes having one or more states assigned to this position. All procedures that fall under that states fee schedule is required to be analyzed and interpreted.

Responsible for the identification, correction, and root cause analysis of fee schedule load and reimbursement problems which includes partnership with various departments within NSM.

Analytic, problem solving, technical skills and attention to detail are required.

Candidates will be expected to identify areas of improvement within the scope of this function and work with Payer Relations leadership to document and implement change.

Maintain accuracy and integrity of data on the company intranet.

Communicate directly with payers via phone, email, or any other means necessary to gather necessary information.

Must maintain regular and predictable attendance.

Assume other duties and responsibilities as assigned.

Individuals will be expected to maintain a professional work environment at all times and may be limited to a certain amount of personal items at work stationsEqual Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)