Payer Maintenance Coordinator Lead

United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare Technology, Medical DevicesIndustries

Requirements

Candidates should have at least 5 years of experience in payer maintenance, healthcare billing, or claims operations, with familiarity in denial codes, reimbursement trends, and claims adjudication workflows. Proficiency in Microsoft Excel and CRM systems, particularly Salesforce, is required, along with strong attention to detail and a sense of urgency. Advanced Excel skills and a solid understanding of payer structures, contracts, and rate mapping are preferred qualifications.

Responsibilities

The Payer Maintenance Coordinator Lead will accurately input and maintain payer data, review and validate payer contracts and rate tables, and ensure contract records are complete in internal systems. This role involves supporting EHR and provider onboarding, ensuring payer configurations are correctly mapped, and maintaining compliance with documentation standards for SOX. The Lead will also collaborate with internal teams and external vendors to resolve data issues, distribute and oversee daily tasks, serve as the first line of escalation for complex issues, and audit payer data entries for accuracy and timeliness. Additionally, they will maintain and track team metrics using a scorecard, identify trends, recommend solutions, assist with training, and represent the payer maintenance function in cross-departmental meetings.

Skills

Payer contract management

Data configuration

Work distribution

Escalation handling

Auditing

Scorecard development

Revenue cycle management

Claims processing

Healthcare data

Problem-solving

Collaboration

iRhythm Technologies

Advanced cardiac monitoring solutions provider

About iRhythm Technologies

iRhythm Technologies focuses on cardiac monitoring solutions, with its main product being the Zio Patch, a wearable device that tracks heart rhythms for up to 14 days. This extended monitoring helps healthcare providers detect irregular heart rhythms that shorter monitoring might miss, making it especially useful for patients at risk. The company serves both patients and healthcare providers, generating revenue by selling the Zio Patch and offering data analysis services to interpret the collected heart data. iRhythm aims to improve patient outcomes and streamline healthcare workflows in the cardiac health sector.

San Francisco, CaliforniaHeadquarters

2006Year Founded

$102.8MTotal Funding

IPOCompany Stage

Biotechnology, HealthcareIndustries

1,001-5,000Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Health Savings Account/Flexible Spending Account

Unlimited Paid Time Off

Paid Vacation

Paid Holidays

401(k) Retirement Plan

401(k) Company Match

Employee Stock Purchase Plan

Mental Health Support

Hybrid Work Options

Pet Insurance

Risks

Increased competition from emerging cardiac monitoring technologies threatens market share.

FDA warning letter may lead to regulatory scrutiny and potential fines.

Shareholder investigation could result in legal challenges and financial liabilities.

Differentiation

Zio Patch offers up to 14 days of uninterrupted cardiac monitoring.

iRhythm's Zio Patch is the smallest and least conspicuous cardiac diagnostic device.

The company provides data analysis services for actionable insights from Zio Patch data.

Upsides

Wearable health tech market growth aligns with iRhythm's business model.

Telehealth expansion increases demand for remote monitoring solutions like Zio Patch.

AI integration enhances arrhythmia detection accuracy in iRhythm's Zio Patch.

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