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Remote Payor Relations Jobs (NOW HIRING)

Mountain Region Support

Inpatient Coder II

Centennial, CO · Remote

$27.86 - $47.28/hr

... payor relations, IT, project management, community benefit and more. Many of our centralized teams offer a remote work option which supports a healthy work-life balance while still providing a ...

Adaptive Biotech

Senior Payer Relations Specialist

$80K - $120K/yr

Senior Payer Relations Specialist Remote (WFH) At Adaptive, we're Powering the Age of Immune ... This position will analyze and resolve payor reimbursement issues through in-depth research and ...

Mountain Region Support

$27.86 - $47.28/hr

... payor relations, IT, project management, community benefit and more. Many of our centralized teams offer a remote work option which supports a healthy work-life balance while still providing a ...

Mountain Region Support

Inpatient Coder II

Centennial, CO · Remote

$27.86 - $47.28/hr

... payor relations, IT, project management, community benefit and more. Many of our centralized teams offer a remote work option which supports a healthy work-life balance while still providing a ...

Sword Health

VP, Consultant Relations

$355K - $558K/yr

You will work cross-functionally with Enterprise and Payor Sales, Marketing, Customer Success ... Remote or Hybrid work policy. * To get to know more about our Tech Stack, check here. $355,250 ...

Sword Health

VP, Consultant Relations

Charleston, WV · Remote

You will work cross-functionally with Enterprise and Payor Sales, Marketing, Customer Success ... Remote or Hybrid work policy. * To get to know more about our Tech Stack, check here. *This range ...

Phsorg

Remote Office Austin, TX 78701 Summary: Presbyterian Healthcare Services (PHS) seeks a strategic ... This leader will define and execute a system-wide payor contracting and revenue optimization ...

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Remote Payor Relations information

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$34.5K

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$134K

How much do remote payor relations jobs pay per year?

As of Jun 29, 2026, the average yearly pay for remote payor relations in the United States is $78,084.00, according to ZipRecruiter salary data. Most workers in this role earn between $46,000.00 and $100,000.00 per year, depending on experience, location, and employer.

What are the most common challenges faced by professionals in Remote Payor Relations roles, and how can they be effectively managed?

Professionals in Remote Payor Relations often encounter challenges such as navigating complex insurance policies, staying updated with frequently changing payor requirements, and fostering effective communication across virtual teams. Managing these challenges involves maintaining organized documentation, leveraging digital tools to track payor updates, and proactively collaborating with internal departments like billing and compliance. Developing strong relationships with payors and participating in ongoing training also help ensure smoother negotiations and issue resolution.

What is the difference between Remote Payor Relations vs Remote Claims Specialist?

AspectRemote Payor RelationsRemote Claims Specialist
CredentialsHealthcare experience, insurance knowledge, communication skillsMedical coding, billing certifications, attention to detail
Work EnvironmentOffice or remote, interacting with payers and providersRemote, processing and reviewing claims
Employer & IndustryHealthcare insurers, providers, third-party administratorsHospitals, clinics, insurance companies
Search & Comparison IntentUnderstanding payer relations, insurance negotiationsClaims processing, billing, reimbursement issues

Remote Payor Relations roles focus on managing relationships with insurance payers, negotiating coverage, and ensuring smooth communication. Remote Claims Specialists handle claims processing, billing, and reimbursement tasks. While both roles operate within the healthcare insurance industry and may require similar healthcare knowledge, their core responsibilities differ—one emphasizes payer relations, the other claims management.

What are Remote Payor Relations?

Remote Payor Relations professionals manage the relationships between healthcare providers and insurance payors from a remote location. Their primary responsibilities include negotiating contracts, resolving billing issues, ensuring compliance with regulations, and facilitating communication between providers and insurance companies. Working remotely, they leverage digital tools to handle documentation, meetings, and data analysis, helping organizations maximize reimbursements while maintaining positive partnerships with payors.

What are the key skills and qualifications needed to thrive as a Remote Payor Relations Specialist, and why are they important?

To thrive as a Remote Payor Relations Specialist, you need a strong understanding of healthcare reimbursement, contract negotiation, and insurance regulations, often supported by a bachelor's degree in healthcare administration or a related field. Familiarity with payer portals, claims management systems, and contract management software is typically required. Excellent communication, problem-solving, and relationship-building skills help you navigate complex issues with payers and internal teams. These capabilities are essential to securing favorable contracts, resolving claim disputes, and ensuring financial stability for healthcare organizations.
More about Remote Payor Relations jobs
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Remote Payor Relations jobs near you
Senior Financial Analyst- Pediatrics

Senior Financial Analyst- Pediatrics

The University Of Iowa

Iowa City, IA • On-site, Remote

$83K - $104K/yr

Other

Posted 15 days ago

Key responsibilities

  • Assist with operating budget development, submission, and implementation within the department.

  • Oversee monthly accounting, reporting, variance analysis, reconciliation processes, and financial analysis for business and strategic initiatives.

  • Advise and guide divisions on compliance requirements related to billing, coding, and revenue cycle processes, and deliver best practice training to staff.

University Of Iowa rating

6.8

Company rating: 6.8 out of 10

Based on 84 frontline employees who took The Breakroom Quiz

412th of 541 rated colleges and universities

Job description

Within the Stead Family Department of Pediatrics, assist with Operating Budget development, submission and implementation. Oversee monthly accounting, workflow, reporting, variance analysis and reconciliation processes. Perform financial analysis and develop proforma for business and strategic initiatives.

This position is eligible for remote work. Remote work must be performed at a location within the state of Iowa and comply with the remote work program and related policies.

Financial Oversight, Reporting & Analysis

Incentive Plan Administration

  • Create, validate, and disseminate incentive plan reports.

  • Track RVUs across providers.

  • Manage penalty tracking including Charge Lag, Documentation Deficiency, Bumped Clinic, Compliance, and DRG (CDI) Queries.

Ad Hoc Reporting & Financial Tracking

  • Respond to ad hoc report requests from providers and executive leadership

  • Assist the Finance Manager with annual budget preparation and salary posting

  • Complete mandatory reconciliations and report following pre-established processes.

  • Assess variance reports on revenue, expense, and other statistical measures. Prepare highly specialized reports as requested.

Financial Analysis and Planning

  • Perform complex financial and statistical analysis utilizing expert knowledge of financial systems.

  • Utilize decision support/data warehouse systems to develop proforma and business analysis for programmatic and strategic initiatives.

Revenue Cycle Management 

Billing, Coding & Payor Relations

  • Participate in monthly crossdepartment meetings and act as a liaison for denials, appeals, payer relations, and coding inquiries.

  • Address unresolved patient billing questions and manage patient followup communications.

  • Manage CARTS ad hoc requests and oversee PreService CARTS workflows.

  • Provide coding support to providers, including guidance on new services, workflow questions, and chargemaster inquiries.

  • Act as the HCIS build contact for new services, ensuring accurate charge capture and system configuration.

Metabolic Formula Coordination

  • Maintain and update the Formula Orders Spreadsheet, including pricing and documentation accuracy.

  • Serve as the primary contact for PCD/PFS questions related to metabolic formula processes and Charity Care considerations.

HCIS, Chargemaster & Provider Specialty Codes

  • Manage new bill area setup, provider/APP bill area requests, and Allowed Services reviews.

  • Coordinate bill area mapping for revenue across divisions.

  • Serve as the liaison for Provider Credentialing with CSO, PCD, and HR, validating new provider taxonomy and Medicare assignments.

Compliance with Policies, Regulations and Laws and Operational Oversight

  • Advise and guide divisions within department on compliance requirements related to billing, coding, and revenue cycle processes, ensuring adherence to organizational policies, regulatory standards, and applicable laws.

Leadership and Training

  • Deliver bestpractice training to staff and support ongoing education related to revenue cycle processes.

  • Recommend and assist in developing training solutions that improve the accuracy, efficiency, and effectiveness of financial transactions, billing practices, and coding processes.

  • Advise departmental leadership on appropriate financial controls and compliance requirements related to billing, coding, and revenue cycle operations.

  • May provide functional and or administrative supervision (direction, assignments, feedback, coaching and counseling) to assure outcomes are achieved.

Strategic Planning

  • Assist in coordination/preparation of analysis for strategic plans in support of DEO/ administrator.

Education Requirements

  • Bachelor's degree in business administration/accounting/finance/management information system, or an equivalent combination of education and experience.

Required Qualifications

  • Knowledge of medical coding and revenue cycle processes (CPT/ICD codes, chargemaster, payer billing workflows).

  • Minimum of three years' experience in finance and or an accounting related field.

  • Advanced Excel skills including Pivot tables, VLookup, Sumifs.

  • Demonstrated experience with database queries or computer programing.

  • Demonstrated excellent verbal and written communication and interpersonal skills.

Desired Qualifications

  • Experience with medical coding and revenue cycle processes.

  • Experience with healthcare billing systems (HCIS, Epic, or similar).

Position and Application details:

In order to be considered for an interview, applicants must upload the following documents and mark them as a "Relevant File" to the submission:

  • Resume

  • Cover Letter

Job openings are posted for a minimum of 7 calendar days and may be removed from posting and filled any time after the original posting period has ended.

Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process.

For additional questions, please contact pedsuichildrenshr@healthcare.uiowa.edu

This position is not eligible for University sponsorship for employment authorization.

Additional Information
  • Classification Title: Senior Financial Analyst
  • Appointment Type: Professional and Scientific
  • Schedule: Full-time
  • Work Modality Options: Remote within Iowa
Compensation
  • Pay Level: 4B
Contact Information
  • Organization: Healthcare
  • Contact Name: Natasha Johnson
  • Contact Email: pedsuichildrenshr@healthcare.uiowa.edu

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