BPO - Payer Relations Coordinator (Hybrid Setup)

Are you ready to wield your negotiation prowess to shape the future of healthcare contracts? If you're passionate about navigating the intricate landscape of payer agreements and proactively resolving challenges, we want you to join our growing people-centric community!

As a Payer Relations Coordinator with a strong background in quality assurance, you will closely work with our team members and clients to ensure accurate contract details, timelines, and practices. You will serve as a relationship builder between in-house units and insurance companies. Your efforts will directly influence the quality of care our clients deliver.

Apply now and be part of our company, where we're not just colleagues but a CommUnity!

How You Spend Your Eight Hours

• Communicate with insurance companies to collect contracting status and fee schedules

• Accurately document client information into the Acorn system

• Collaborate with account management team members to optimize contracts

• Coordinate with internal departments, insurance companies, and clients to gather critical data

• Maintain a professional relationship with the insurance companies or payers

• Stay current on insurance industry practices and governmental rules

• Help make informed decisions about changes to networks, contracts, practices, rules, and timelines

• Maintain a library of plan details and business rules for team members

• Clearly communicate modifications through training, company meetings, bulletins, etc

• Proactively address billing and contracting issues escalated from account teams

• Organize efforts of other parties to collect information on behalf of clients

What You Must Possess

• Degree in business or healthcare administration

• At least three years of payer enrollment or customer service experience

• Dental/Medical credentialing experience desired

• Strong oral and written communication skills

• Strong analytical, interpersonal, and communication skills

• Ability to think critically and troubleshoot problems

• Proficiency with Microsoft Office

• Positive attitude and organizational skills

• Consistent and keen attention to detail

• Eagerness to learn

• Independence and team-oriented attitude

What You Shall Receive

• HMO coverage upon regularization, with one free dependent after one year of continuous service and another free dependent after two years of continuous service

• VL/SL credits upon regularization

• Friendly and supportive work culture

• 13th-month pay and other Philippine government-mandated benefits

• Non-taxable allowances

• Pay increases, performance bonuses, birthday gifts, and many more

What You Should Consider

• Full-time exempt position

• Monday to Friday

• Hybrid work setup

Why Join Our Company

You look for a company whose senior management listens to what you are and aren't saying and whose managers and team leads you can genuinely connect with. According to Glassdoor, 99% of the current and previous employees recommend Unity Communications to their friends, and 100% approve of its executive management. Our company is a Certified Great Place To Work that values inclusion and diversity and spreads kindness and positivity.