Payer Integration Specialist

Job Summary

To support a growing practice, the full-time Payer Integration Specialist will manage health plan integrations and configure RCM system rules for seamless carrier connectivity in a remote environment.

Key responsibilities

• Coordinate with payers to establish technical and operational connectivity
• Translate payer-specific requirements into actionable implementation steps for internal teams
• Serve as the primary point of contact for health plan integration setups, focusing on eligibility, claims, and billing workflows

Required qualifications

• 3+ years of work experience in a high-growth, fast-paced environment
• Deep understanding of health plan structures, payer operations, claims billing, and utilization management workflows
• Hands-on experience with RTE (270/271), claims (837), and similar healthcare integrations
• Strong project management skills with the ability to manage multiple work streams and competing priorities
• Exceptional communication skills with the ability to work cross-functionally with technical and non-technical stakeholders