National Payer Database Admin

Responsibilities

Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join us as a National Payer Database Administrator, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes.

You Will:

• Work closely with Contracting and Special Bill teams to maintain all contract and fee schedule updates.

• Understand contracts to identify payer rates.

• Calculate and create fee schedules for timely upload into NPD.

• Interact with Revenue Cycle Operations and RIS teams to update NPD with new payers and insurance codes to align all systems.

• Track and log payer rates needing yearly updates.

• Import EOB extracts from the billing system into NPD.

• Add new sites and practices to NPD.

• Run Revenue Reports and create monthly summaries for Management review.

• Communicate rate changes to the RO Systems team in order to keep rates aligned in Imagine and NPD.

• Manage user access for NPD.

• Collaborate with the development team to streamline and enhance the user experience.

• Provide training to other departments and individuals as needed.

• Participate in conference calls as needed.

You Are:

• Genuinely passionate about customer service and exercise sound judgement and an ability to remain professional in all situations

• Organized and posses a keen analytical mindset with strong problem-solving abilities.

• Able to demonstrate effective and professional communication, interpersonal skills and respect with operational leaders, internal customers & colleagues

• Able to thrive in a fast-paced environment, have a knack for prioritizing work with a structured approach, and enjoy providing world class customer service

To Ensure Success In This Role, You Must Have:

• High school diploma required.

• Successful completion of some college coursework or a college degree is preferred.

• At least five years of experience in a health care administrative environment.

• Understanding of payers, contracting, insurance types and classes, CPT codes, modalities, fee schedule structures, and various health care regulations.

• Knowledge of revenue cycle process.

• Ability to read, understand, and ask questions for clarity on contracts.

• Proficiency in using a personal computer and Microsoft Office.

• Ability to understand how different systems and platforms interact with the National Payer Database.

• Knowledgeable of the proprietary nature of fee schedules and associated contracts and adheres to company policy regarding the release of any/all information.

• Excellent interpersonal skills, with the ability to communicate clearly both verbally and in writing.

• Exhibits effective organizational skills and attention to detail.

• Demonstrates a high-level of integrity, confidentiality, business ethics, a strong depth of knowledge, and a pro-active approach to customer service.