Payer Compliance Specialist I - Remote

Overview



The Payer Compliance Specialist I – RCM plays a key role within USAP as it is responsible for analyzing allowed amounts received on USAP claims, to determine appropriateness per contract. This position will review electronic and manual postings associated with variances, appeal for re-processing, and/or request corrections as necessary for USAP to receive the full allowance per contract. Additionally, this position is responsible for working to identify and resolve payer issues that negatively impact receivables.

The Payer Compliance Specialist I – RCM frequently communicates with various internal USAP RCM departments as well as insurance companies. Therefore, it is essential that the candidate demonstrates a positive demeanor, professionalism, and has polished verbal and written communication skills. This position requires independent thinking, problem solving, and strong interpersonal and analytical skills to identify trends and issues along ...