Referso Jobs

Director of Payer Relations and Contracting

OMS MEDICAL BILLING LLC · Posted Nov 10, 2026

Open

Addison, Texas, United States
On-site
Full-time · Manager
10+ years

Director of Payer Relations and Contracting

OMS MEDICAL BILLING LLC · Posted Nov 10, 2026

Open

Addison, Texas, United States
On-site
Full-time · Manager
10+ years

Revenue Cycle Coordinator

KETCHIKAN INDIAN CORPORATION · Posted Nov 9, 2026

Open

Ketchikan, Alaska, United States
On-site
Full-time · Mid

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The primary coordinator responsible for maintaining the accuracy, integrity, and synchronization of provider, payer, facility, enrollment, and billing-related information across revenue cycle systems to support successful claims processing and reimbursement.

Responsibilities

Maintain provider, payer, facility, location, taxonomy, eligibility, enrollment, and billing information across multiple revenue cycle, clinical, practice management, payer, and other organizational systems.
Coordinate updates across interconnected systems to ensure information remains accurate, consistent, and billing ready.
Validate, reconcile, and maintain data received from internal departments, providers, payers, and external entities.
Coordinate provider, facility, and organizational enrollment, revalidation, maintenance, and related activities with Medicare, Medicaid, VA, commercial payers, and other third-party payers.
Maintain enrollment records, payer portals, CAQH profiles, credentialing-related data, and supporting documentation required for enrollment and reimbursement activities.

Requirements

Nice to have: Understanding of American Indian/Alaska Native (AI/AN) Tribal culture

Skills

Revenue cycle management Provider enrollment

Pharmacy 340B Strategy & Reimbursement Operations Manager

Fairview Health Services · Posted Nov 6, 2026

Open

Shoreview, Minnesota, United States
Full-time · Manager
5+ years

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Provides strategic leadership and operational oversight for Fairview Pharmacy Services' 340B reimbursement strategy, focusing on Maximum Fair Price (MFP) readiness, implementation, and manufacturer rebate operations.

Responsibilities

Provide strategic leadership and operational oversight for 340B reimbursement strategy
Ensure MFP readiness, implementation, and manufacturer rebate operations
Support program priorities such as contract pharmacy restrictions, manufacturer policy requirements, and Medicare Part D repository activity
Serve as a business lead and subject matter expert for MFP
Direct operational execution for 340B programs, including claim identification, eligibility validation, data submission, reconciliation, and payment validation

Requirements

B.S./B.A. Bachelor's degree in Business
Finance
Healthcare Administration
Pharmacy
Information Systems

Skills

340B program administration Pharmacy reimbursement Revenue cycle Payer relations Medicare

Revenue Cycle Operations Specialist

Fairfax Radiology Centers (FRC), LLC · Posted Nov 6, 2026

Open

Fairfax, Virginia, United States
Hybrid
Full-time · Associate
$60K–$81K per year
2+ years

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A detail-oriented role serving as a connection between internal departments, external billing partners, insurance payers, and affiliated organizations to resolve billing and reimbursement issues and coordinate payer enrollment.

Compensation

$60,112 - $81,328 annual salary

Responsibilities

Serve as a resource to external billing vendor and internal departments, researching and resolving complex billing, insurance, reimbursement, and operational questions.
Investigate payer denials, underpayments, authorization issues, and claims-processing discrepancies.
Collaborate with Inova, external billing partners, and internal teams to coordinate resolution of payer and billing issues.
Support institutional and facility billing, including UB-04 claims, payer requirements, and reimbursement processes.
Coordinate recurring revenue cycle meetings with Inova.

Requirements

Associate degree or higher in Healthcare Administration
Health Sciences
Information Technology
A related field
Nice to have: PivotTables

Skills

healthcare revenue cycle operations medical billing payer relations

Provider Enrollment/Credentialing Specialist

Omega · Posted Nov 6, 2026

Open

Boca Raton, Florida, United States
2+ years

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Central liaison responsible for enrolling, maintaining, and linking providers to payer systems across the Central and West regions.

Responsibilities

Submit and track enrollment applications for physicians, APPs, and eligible practitioners
Maintain up‑to‑date credentialing files
Coordinate with medical staff services to verify provider privileges
Monitor enrollment status dashboards
Communicate enrollment requirements and updates

Requirements

Bachelor's degree in Health Administration, Business, or related field; or equivalent experience
Nice to have: Certified Provider Enrollment Specialist (CPE)

Skills

provider enrollment credentialing payer relations Medicare Medicaid commercial payer enrollment enrollment software platforms

Director - Payor Relations - Regional

Sight Sciences · Posted Nov 6, 2026

Open

Remote
Remote
Senior
8+ years

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Lead regional payer engagement and coverage strategy for the TearCare® System, building relationships with Medicare, commercial plans, and other payers to advance patient access and coverage policies.

Responsibilities

Develop and execute a regional payer‑relations strategy aligned with Market Access priorities
Prioritize regional payer organizations based on impact and opportunity
Build and maintain professional relationships with payer medical directors, policy leaders, reimbursement teams, and other decisionmakers
Lead compliant payer meetings focused on TearCare clinical evidence, coding, coverage, and payment
Monitor existing and emerging payer coverage policies, medical policies, and reimbursement practices

Requirements

Bachelor’s degree in health policy, healthcare administration, business, life sciences, health economics, public health, or a related field
Nice to have: advanced degree

Skills

payer relations market access reimbursement health policy managed care

Director of Payer Relations and Contracting

Director of Payer Relations and Contracting

Compensation

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Revenue Cycle Coordinator

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Requirements

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Pharmacy 340B Strategy & Reimbursement Operations Manager

Responsibilities

Requirements

Skills

Revenue Cycle Operations Specialist

Compensation

Responsibilities

Requirements

Skills

Provider Enrollment/Credentialing Specialist

Responsibilities

Requirements

Skills

Director - Payor Relations - Regional

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Requirements

Skills

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Payer relations jobs

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