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Payer Relations Specialist

Eify Fa Us6 Oraclecloud Com CX 1004 · Springfield, IL, United States; SC Allen, Springfield, IL, US · On Site · Deleted · Oracle Recruiting Cloud / Fusion HCM

Job facts

FieldValue
CompanyEify Fa Us6 Oraclecloud Com CX 1004
TitlePayer Relations Specialist
Normalized title-
Department / teamPayer Strategy & Contracting
LocationSpringfield, IL, United States
Work modelOn Site
Employment typeFull Time
Salary-
Statusdeleted
ATS providerOracle Recruiting Cloud / Fusion HCM
Posted / first seen2026-05-08 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-04

Related slices

PageWhat it containsOpen
Company jobsActive postings from Eify Fa Us6 Oraclecloud Com CX 1004.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through Oracle Recruiting Cloud / Fusion HCM.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Springfield.Open
Department jobsActive postings in Payer Strategy & Contracting.Open
Work model jobsActive On Site postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyEify Fa Us6 Oraclecloud Com CX 1004
Source05a13074-d723-4712-b151-4ec01db05fd2
ATS providerOracle Recruiting Cloud / Fusion HCM

Description

Description The Payer Relations Specialist assists with the administrative oversight of payer contracts on behalf of Springfield Clinic. Works closely with Payer Relations Manager to maintain the details of participating network contracts. Provides internal support so that contractual obligations can easily be met while enhancing revenue and patient access and provides general assistance and support to the Director of Managed Care and Payer Relations Manager. Job Relationships Reports to the Payer Relations Manager Principal Responsibilities Collaborates directly with the Director of Managed Care and Payer Relations Manager to support all payer relations business needs. Possess in-depth knowledge and understanding of payer's guidelines, contractual terms, and the processing of Springfield Clinic claims to provide direction and guidance to all internal departments. Responds to payer contract questions as well as benefit and billing questions Coordinates with revenue cycle, quality management, practice operations and credentialing teams to ensure that all payer contractual obligations are met. Rectifies day to day issues for provider service representatives and others within practice operations Receive, research, and perform service recovery as needed Maintains relationships with provider relations representatives with all contracted managed care plans. Identifies issues to discuss in recurring payer meetings. Partner with patient accounting and compliance colleagues to resolve individual cases of improper reimbursement and identify trends. Provide verbal and written communication to all applicable Springfield Clinic practice operations, ancillary, and billing teams related to updates of payer information such as payer provider manuals, provider bulletins and other notices relating to eligibility, covered services, pre-authorization requirements, coding and claim requirements, appeal processes, etc. Analyze and coordinate execution of single case agreements and requested contracts including communications with other teams. Facilitate meetings, display willingness to make decisions within scope of responsibility, and include the appropriate people in the decision-making process. Utilize critical thinking and problem-solving skills when addressing payer, office, and provider concerns Respond promptly to client needs and solicit feedback to improve service, meet commitments and provide follow-up within a timely manner. Develop training aids and train staff on the use of online portals and other tools utilized to obtain prior authorizations in compliance with all payer plans to maximize efficiency Build strong relationships and instill confidence and trust at all levels of the organization including providers. Attends workshops, seminars, and other training programs for educational growth. Comply with the Springfield Clinic incident reporting policy and procedures. Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy. Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards. Perform other job duties as assigned. Education/Experience Associates Degree in business, healthcare administration, or equivalent experience is required. Bachelors degree is preferred. Knowledge, Skills and Abilities Conceptual knowledge of principles and practices of healthcare related payer relations/contracts. Strong communication skills are required Ability to manage multiple tasks and work in a fast-paced environment is required. Must be detail oriented and able to deliver a high level of accuracy. Must be proficient in all MS Office applications, including Excel, Access, PowerPoint and Word. Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to effectively present information and respond to questions from staff and management across the Clinic. Must consistently exercise discretion and sound judgement Working Environment This job operates in a professional office environment. Routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Occasional travel possible. PHI/Privacy Level HIPAA1

Full job record

Job ID310e9787e4380bd91a6dedbe5fc049bbbba6e0bb
Org ID5d822b82-a698-4674-9b7b-53ef656d13b4
Source ID05a13074-d723-4712-b151-4ec01db05fd2
Board ID05a13074-d723-4712-b151-4ec01db05fd2
Provideroracle_hcm
Provider Job Key8135
TitlePayer Relations Specialist
Normalized Title—
Statusdeleted
Activeno
Location TextSpringfield, IL, United States; SC Allen, Springfield, IL, US
DepartmentPayer Strategy & Contracting
Team—
Employment Typefull_time
Workplace Typeon_site
Remote Policy—
CountryUnited States
RegionIL
CitySpringfield
Salary RawDescription The Payer Relations Specialist assists with the administrative oversight of payer contracts on behalf of Springfield Clinic. Works closely with Payer Relations Manager to maintain the details of participating network contracts. Provides internal support so that contractual obligations can easily be met while enhancing revenue and patient access and provides general assistance and support to the Director of Managed Care and Payer Relations Manager. Job Relationships Reports to the Payer Relations Manager Principal Responsibilities Collaborates directly with the Director of Managed Care and Payer Relations Manager to support all payer relations business needs. Possess in-depth knowledge and understanding of payer's guidelines, contractual terms, and the processing of Springfield Clinic claims to provide direction and guidance to all internal departments. Responds to payer contract questions as well as benefit and billing questions Coordinates with revenue cycle, quality management, practice operations and credentialing teams to ensure that all payer contractual obligations are met. Rectifies day to day issues for provider service representatives and others within practice operations Receive, research, and perform service recovery as needed Maintains relationships with provider relations representatives with all contracted managed care plans. Identifies issues to discuss in recurring payer meetings. Partner with patient accounting and compliance colleagues to resolve individual cases of improper reimbursement and identify trends. Provide verbal and written communication to all applicable Springfield Clinic practice operations, ancillary, and billing teams related to updates of payer information such as payer provider manuals, provider bulletins and other notices relating to eligibility, covered services, pre-authorization requirements, coding and claim requirements, appeal processes, etc. Analyze and coordinate execution of single case agreements and requested contracts including communications with other teams. Facilitate meetings, display willingness to make decisions within scope of responsibility, and include the appropriate people in the decision-making process. Utilize critical thinking and problem-solving skills when addressing payer, office, and provider concerns Respond promptly to client needs and solicit feedback to improve service, meet commitments and provide follow-up within a timely manner. Develop training aids and train staff on the use of online portals and other tools utilized to obtain prior authorizations in compliance with all payer plans to maximize efficiency Build strong relationships and instill confidence and trust at all levels of the organization including providers. Attends workshops, seminars, and other training programs for educational growth. Comply with the Springfield Clinic incident reporting policy and procedures. Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy. Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards. Perform other job duties as assigned. Education/Experience Associates Degree in business, healthcare administration, or equivalent experience is required. Bachelors degree is preferred. Knowledge, Skills and Abilities Conceptual knowledge of principles and practices of healthcare related payer relations/contracts. Strong communication skills are required Ability to manage multiple tasks and work in a fast-paced environment is required. Must be detail oriented and able to deliver a high level of accuracy. Must be proficient in all MS Office applications, including Excel, Access, PowerPoint and Word. Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to effectively present information and respond to questions from staff and management across the Clinic. Must consistently exercise discretion and sound judgement Working Environment This job operates in a professional office environment. Routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Occasional travel possible. PHI/Privacy Level HIPAA1
Salary Min—
Salary Max—
Salary Currency—
Salary Periodday
Source URLhttps://eify.fa.us6.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1004/job/8135
Apply URLhttps://eify.fa.us6.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1004/job/8135
First Seen At2026-05-31 17:57:04Z
Last Seen At2026-06-04 10:14:18Z
Last Checked At2026-06-06 18:54:07Z
Last Changed At2026-06-06 18:54:07Z
Inactive At2026-06-06 18:54:07Z
Source Posted At2026-05-08 21:01:12Z
Source Updated At—
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Extensions
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eligibility, covered services, pre-authorization requirements, coding and claim requirements, appeal processes, etc.</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Analyze and coordinate execution of single case agreements and requested contracts including communications with other teams.</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Facilitate meetings, display willingness to make decisions within scope of responsibility, and include the appropriate people in the decision-making process.</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Utilize critical thinking and problem-solving skills when addressing payer, office, and provider concerns</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Respond promptly to client needs and solicit feedback to improve service, 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