Systems Support Specialist - Payor

Compensation: $20.00 - $27.00 per hour. You are eligible for a Short-Term Incentive Plan with the target at 5% of your annual earnings; terms and conditions apply.

Systems Support Specialist - Payor - Remote

The PFS Systems Specialist - Payor is responsible for creating and maintaining payor processes as required by Patient Financial Services (PFS) to ensure functional needs are achieved. Payor support includes reviewing and researching payor set up requests, as well as maintaining payor fee schedules. PFS Systems Specialist – Payor will also support PFS by acting as primary point of contact with ancillary vendors related to payor set ups. In addition, PFS Systems Specialist may be required to provide representation related to internal billing/operational/IT initiatives. 

Essential Functions

• Manage and maintain the PFS payor database including payor demographics, filing deadlines, network status, pricing configurations per contract terms

1. Configures new prices, payers, consolidation rules, MUEs and other business rules  
2. Maintain PFS system application support for table configurations related to payors 

Qualifications

• 1+ years of experience in analytic, technical, and reporting experience with health care data 
• High School diploma required; college degree preferred 
• Experience with healthcare PFS Application configurations; XIFIN software 
• Proficiency in utilizing Microsoft Office, specifically Excel  
• Excellent computer skills   
• Analytical skills in the areas of claim processing, billing and reimbursement as affected by various data systems 
• Ability to convey complex ideas in an easily understood manner to guide audience through written or verbal communications 
• Ability to work independently 
• Excellent attention to detail 
• Must demonstrate problem solving and strong organizational skills 

Preferred

• 2+ years of experience in a clinical laboratory preferred, especially genetic billing 
• 2+ years of experience in all aspects of the billing revenue cycle a plus 
• Understanding of healthcare claim and invoice processing; genetic testing experience a plus 

#LI-CB1 #LI-REMOTE

About Us: 

Ambry Genetics Corporation is a CAP-accredited and CLIA-licensed molecular genetics laboratory based in Aliso Viejo, California. We are a genetics-based healthcare company that is dedicated to open scientific exchange so we can work together to understand and treat all human disease faster.

At Ambry, everyone is welcome. A career at Ambry Genetics is a chance to be part of a dynamic company that aims to improve health by understanding the relationships between genetics and human disease. We earned our reputation as industry leaders by responsibly introducing cutting-edge genetic testing solutions and continually sharing what we learn with the global scientific community.

At Ambry you will be learning, challenging yourself, and having fun while collaborating with teammates through the open exchange of ideas. Our outstanding benefits program includes 401k, medical, dental, vision, FSA, paid sick leave and generous paid time off (PTO) program. Ambry Genetics is an Equal Opportunity Employer (EOE) and we maintain a drug-free work environment.

The Company believes in second chance employment. Qualified applicants with arrest or conviction history will be considered regardless of their arrest or conviction history, consistent with local laws such as Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if the Company is concerned about conviction that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report. For the purpose of the above job description, “Essential Functions” are “Material Job Duties”.

Our salary ranges are determined by role, level, and location. The range displayed on each job posting reflects the minimum and maximum target for new hire salaries for the position across all US locations. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training.

All qualified applicants will receive consideration for employment without regard to race (and traits historically associated with race, including, but not limited to hair texture and protective hairstyles such as braids, locks, and twists), color, creed, religion, sex, sexual orientation, gender identity, gender expression (including transgender status), national origin, ancestry, age, marital status or protected veteran status and will not be discriminated against on the basis of disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances. If you have a disability or special need that requires accommodation, please contact us at careers@ambrygen.com

Ambry does not accept unsolicited resumes from individual recruiters, third party recruiting agencies, outside recruiters or firms without an executed contract in place. We are not responsible for any fees related to resumes that are unsolicited or are received by Ambry. Such resumes will be deemed the sole property of Ambry and will be processed accordingly.

PRIVACY NOTICES

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