Payer Relations Administrative Coordinator

Job Description

Job Description

At Prism, we are more than a healthcare support organization. We are a team of dedicated professionals committed to delivering exceptional service, strengthening payer partnerships, and supporting access to quality patient care across the healthcare continuum.

As part of our growing organization, you'll have the opportunity to make a meaningful impact every day. We are seeking motivated professionals who are passionate about operational excellence, relationship management, and process improvement. If you thrive in a collaborative environment and enjoy coordinating complex projects while supporting key business initiatives, we encourage you to apply.

Prism CARES for Our Employees

We believe our employees are our greatest asset. That's why we are committed to providing resources and opportunities that support both personal and professional success.

C - Cultivating Growth and Balance

We encourage career development through ongoing training, professional growth opportunities, competitive benefits, generous paid time off, and a commitment to work-life balance.

A - Access to Industry-Leading Benefits

We offer a comprehensive benefits package including medical, dental, vision, life insurance, disability coverage, 401(k), company-paid holidays, employee engagement initiatives, and educational assistance programs.

R - Resources for Success

Our employees receive the tools, training, mentorship, and support needed to excel in their roles and advance their careers.

E - Expertise and Support

From onboarding to ongoing development, you'll have access to industry expertise, payer relations resources, and leadership support designed to help you succeed.

Join Our Payer Relations Team

As a Payer Relations Administrative Coordinator , you will play a key role in supporting payer contracting activities and payer relations initiatives across the organization. This position provides administrative coordination, project oversight, communication support, and workflow management to ensure payer-related activities align with organizational, operational, and strategic objectives.

The ideal candidate is highly organized, detail-oriented, and capable of balancing multiple priorities while building strong relationships with internal stakeholders and external payer partners.

A Day in the Life...

A Day in the Life of a Payer Relations Administrative Coordinator

• Coordinate and facilitate administrative activities within the Payer Relations department, including CRM management, payer databases, communications, and departmental documentation.
• Organize department meetings and support collaboration by coordinating discussions around team goals, projects, company updates, problem-solving, and departmental initiatives.
• Monitor workflows and departmental projects to ensure effective task delegation, balanced workloads, project accountability, and timely completion of objectives.
• Collaborate with internal departments and payer organizations to help resolve contracting and claims processing issues.
• Assist in the preparation and distribution of monthly and quarterly reports related to payer contracts and payer relations activities.
• Maintain knowledge of Medicare, Medicaid, Managed Care Organizations, and commercial payer requirements to support compliance and operational effectiveness.
• Support team development efforts through workflow coordination, employee check-ins, training support, and process improvement initiatives.
• Serve as a resource for payer-related questions and provide support during departmental staffing shortages or escalations.
• Build and maintain positive relationships with internal teams, healthcare payers, and business partners while representing Prism in a professional manner.
• Promote compliance with company policies, procedures, safety standards, and regulatory requirements.
• Perform additional duties and special projects as assigned by leadership.

Education and Qualifications

Required

• High School Diploma or equivalent
• General knowledge of healthcare operations and medical business practices
• Knowledge of commercial and government insurance programs and regulations
• Strong organizational skills and attention to detail
• Excellent verbal and written communication skills
• Strong computer proficiency and ability to navigate multiple systems and databases
• Ability to establish priorities, meet deadlines, and manage multiple competing demands
• Ability to work effectively in a fast-paced environment
• Ability to communicate professionally with individuals at all levels of the organization

Preferred

• Bachelor's degree in Business, Healthcare Administration, or another healthcare-related field
• Experience supporting payer relations, payer contracting, managed care, or healthcare administration
• Experience with CRM platforms and payer management databases
• Working knowledge of Medicare, Medicaid, Managed Care Organizations, and commercial payer requirements
• Experience coordinating projects, reporting activities, and cross-functional initiatives within a healthcare environment

Benefits

Medical, Dental, Vision, Life Insurance, Disability Insurance, 401(k), Company Paid Holidays, Paid Time Off, Education Assistance Program, Community Involvement Opportunities, and Employee Engagement Programs.

Hours

Full-Time

Monday-Friday

Location

Elkin, NC

Prism provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type in accordance with applicable federal, state, and local laws.