远程工作雷达

支付运营专员

Payer Operations Specialist

职能支持限定地区(需当地身份)
公司Allara Health
薪资$55,000 - $65,000/年
工作地点United States
地域资格限定地区(需当地身份)
时区要求日间重叠约 9 小时,基本正常作息
用工类型Full Time
发布时间今天
数据来源Himalayas
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注意地域限制:该职位明确限定在 United States 招聘。如果你是位于中国大陆的求职者,通常需要当地工作身份才能投递,或需与雇主确认是否接受独立合同(Contractor)形式合作。

Allara 是一家全面的女性健康服务提供商,专注于为女性在各个生命阶段提供专家级、长期性的照护。全国超过 6 万名女性信赖 Allara,通过将患者与具备激素、代谢和生殖照护深入理解的多学科照护团队连接起来,使专家级医疗更加可及。Allara 为多囊卵巢综合征等激素类疾病、胰岛素抵抗等慢性疾病以及围绝经期等生命阶段提供持续支持,帮助患者改善健康结果。作为美国增长最快的女性健康平台之一,Allara 正在弥合女性医疗中长期被忽视的缺口。

职位机会
我们正在寻找一位热情且注重流程的支付方运营专员,作为认证和支付方运营团队的专家和支付方升级联系人。随着我们在全国范围内扩大网络内接入,此职位直接负责支付方扩展的速度和准确性——这正是医生能够在第一天接诊会员与申请停滞之间的区别。您将负责调查停滞的申请、新的支付方流程,并审查团队整体质量以确保一致性和 SLA 执行。

地点:远程(美国)
您的影响

  • 协助支付方运营领导完成支付方合同、注册和认证工作流程的端到端 SOP 文档编写和维护 —— 将经验知识转化为可重复、可审计的流程
  • 实施质量控制和错误检测检查点,减少返工和被拒绝的申请
  • 识别扩展流程中的瓶颈并推动周期时间改进
  • 精确更新注册和合同跟踪器,标记过期项目和延迟,并提出解决方案进行升级
  • 通过电话、邮件和支付方门户对支付方进行持续主动跟进,确认申请接收、解决缺陷并推动申请通过审批。您将负责每个事项直到完成
  • 与 RCM 和支付方策略/业务发展团队合作,共同解决问题或推进战略支付方项目
  • 在需要时协助提交申请

所需资格

  • 2 年以上在医生注册、认证、支付方合同或医疗行政领域的工作经验(实习或相关收入周期经验可考虑)
  • 具有构建或文档化流程的经验
查看英文原文

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women.
The Opportunity
We're seeking an enthusiastic and process-driven Payer Operations Specialist to serve as a subject matter expert and payer escalations contact on the credentialing and payer operations team. As we expand in-network access across the country, this role directly owns the speed and accuracy of payer expansion — the difference between providers who can see members on day one and applications that stall. You will be responsible for investigating stalled applications, new payer processes, and reviewing quality across the team to ensure consistency and SLA execution.
Location: Remote (US)
Your Impact

  • Assist Payer Operations leadership with documenting and maintaining end-to-end SOPs for payer contracting, enrollment, and credentialing workflows — turning tribal knowledge into repeatable, auditable processes
  • Implement quality controls and error-catching checkpoints that reduce rework and rejected applications
  • Identify bottlenecks in the expansion pipeline and drive cycle-time improvements
  • Keep enrollment and contracting trackers meticulously up to date, flag aging items and delays, and escalate blockers with proposed solutions
  • Conduct persistent, proactive follow-up with payers via phone, email, and payer portals to confirm application receipt, resolve deficiencies, and push applications through to approval. You own each item until it's done
  • Partner with RCM and payer strategy/business development teams in collaborative problem-solving or strategic payer initiatives.
  • Assist with application submission, as needed.

Required Qualifications

  • 2+ years of experience in provider enrollment, credentialing, payer contracting, or healthcare administration (internship or adjacent revenue cycle experience considered)
  • Demonstrated experience building or documenting processes and SOPs
  • Comfort owning metrics and reporting on pipeline throughput
  • Highly independent and driven. You follow up relentlessly (including comfort calling and escalating within payer networks), manage your own queue without reminders, and don't let applications sit
  • Exceptional attention to detail and organizational skills; you take pride in accurate, deadline-driven work

Preferred Qualifications

  • Hands-on experience with payer portals and third party portals i.e. Availity
  • Familiarity with commercial payer requirements (Understanding Medicare and Medicaid processes is a plus)
  • Experience in multi-state telehealth, digital health, or a high-growth healthcare environment
  • Exposure to credentialing standards (e.g., NCQA, CMS)

What Allara Offers
·
Compensation & Career Growth

  • $55,000 - $65,000 with opportunities for advancement
  • Equity
  • Professional development & employee learning programs

Actual compensation will be determined based on a variety of factors, including but not limited to: candidate experience, location, education, certifications, and skill set. In addition to base salary, our total compensation package includes equity, comprehensive health benefits (medical, dental, vision), generous paid time off, and additional wellness and professional development perks.
·
Work Environment & Flexibility

  • 100% remote within the U.S.
  • Unlimited PTO & 11 company holidays
  • Health & Wellness
  • Medical, dental, and vision benefits
  • Health Savings Account (HSA) & Flexible Spending Account (FSA)
  • Long- and short-term disability coverage
  • Annual employee wellness stipend
  • Family & Future Planning
  • 401(k) plan
  • Parental leave & family planning support benefits
  • Additional Perks
  • Company-issued laptop
  • Annual work-from-home stipend
  • Commuter benefits (if applicable)
  • A collaborative, mission-driven culture focused on improving patient care

At Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.
Originally posted on Himalayas

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