Healthcare Payor Communications Specialist

Job Summary

Managing inbound communications from payors, the full-time Healthcare Payor Communications Specialist will handle calls, voicemails, and emails while ensuring accurate logging and resolution of each interaction in a remote environment.

Key responsibilities

• Answer inbound calls from payors and manage each case until resolution or handoff
• Interpret payor communications, including authorization statuses and eligibility updates, to determine next steps
• Maintain the inbound payor queue, ensuring all communications are triaged and logged accurately

Required qualifications

• 1-2+ years of experience in an admin-heavy healthcare role, such as payor calls or insurance verification
• Familiarity with insurance basics, including eligibility, benefits, and the prior authorization lifecycle
• Strong organizational skills and ability to work independently with urgency
• Experience working with payor representatives over the phone
• Nice to have: experience in behavioral health or familiarity with payor portals and EMR/EHR systems