Collabera

Insurance Data Management Specialist The Insurance Data Management Specialist is integral to ensuring the efficient and compliant operation of revenue cycle platforms. This role involves the setup, maintenance, auditing, and optimization of payor-related system configurations. The specialist will ensure accurate implementation of payor contracts, reimbursement methodologies, billing rules, fee schedules, and claims processing requirements. Responsibilities: Configure and maintain payor plans, reimbursement methodologies, fee schedules, contractual allowances, and billing rules. Implement new payor contracts and update existing configurations based on contract amendments and reimbursement changes. Support Billing, Verification of Benefits (VOB), Prior Authorization, and Collections teams with insurance research and payer-related inquiries. Investigate claim status issues and assist in identifying payer-related root causes affecting reimbursement. Ensure configurations comply with...

Insurance Data Management SpecialistThe Insurance Data Management Specialist is integral to ensuring the efficient and compliant operation of revenue cycle platforms. This role involves the setup, maintenance, auditing, and optimization of payor-related system configurations. The specialist will ensure accurate implementation of payor contracts, reimbursement methodologies, billing rules, fee schedules, and claims processing requirements.Responsibilities:Configure and maintain payor plans, reimbursement methodologies, fee schedules, contractual allowances, and billing rules.Implement new payor contracts and update existing configurations based on contract amendments and reimbursement changes.Support Billing, Verification of Benefits (VOB), Prior Authorization, and Collections teams with insurance research and payer-related inquiries.Investigate claim status issues and assist in identifying payer-related root causes affecting reimbursement.Ensure configurations comply with...