Payor Relations Specialist

2 weeks ago

Rancho Mirage California, United States Ernest Health Full time
Overview:
At Rehabilitation Hospital of Southern California, we consider ourselves patient-centered and family-friendly. We truly consider it an honor to be able to help members of our community as they recover from serious injuries, illnesses, and debilitating medical conditions. Vibra Rehabilitation Hospital of Rancho Mirage has earned The Joint Commission’s Gold Seal of Approval® for Hospital Accreditation by demonstrating continuous compliance with performance standards. The Gold Seal is a symbol of quality that reflects our commitment to providing safe and quality patient care.

 

 

We are seeking a Payor Relations Specialist to join our team of passionate patient caregivers

 

As a participating hospital of Ernest Health, our patients are family. Healthcare is constantly evolving, and our growing organization is devoted to ensuring that each person in our care feels safe. Our world-class team of driven, passionate healthcare professionals is always focused on service excellence and providing top quality care at the bedside.

 

Employees are our priority. We are passionate about patient care and consider it a privilege to be able to provide services to patients and their family members. Ernest Health provides a variety of benefits to all our employees including: 

PPO and High Deductible Medical Plan options

FSA and HSA (with employer matching) options available

Dental and Vision coverage

401K with employer matching

Life insurance

Short-and-long term disability

Pet insurance

Employee Assistance Program

Wellness Program

Tuition and Continuing Education reimbursement

Earned Time Off

Full-Time and Part-Time Clinical positions are also eligible for:

Clinical Career Ladder levels

Nursing Preceptor Programs

PCT Career Path levels

CRRN or CCRN Certification Pay

Qualifications:
Required Skills:

Current state RN license preferred.

Two years recent experience in Utilization Review preferred

OR any equivalent combination of education and experience.

 

Additional Qualifications/Skills:

Knowledge of clinical operations and procedures.

Knowledge of the compliance and regulatory standards governing health plans and patient care.

Demonstrates an understanding of treatment costs and financial support as they relate to quality and efficiency.

Demonstrates general computer skills including: data entry, word processing, email, and record management.

Effective organizational and time management skills.

Effective written and verbal communication skills.

Ability to maintain proper levels of confidentiality.

Ability to work closely and professionally with others.

Ability to maintain quality, safety, and/or infection control standards.

 

Are you interested in relocating? Check out our other opportunities: 

 

We're located in the following states:

Arizona

California

Colorado

Idaho

Indiana

Montana

New Mexico

Ohio

South Carolina

Texas

Utah

Wisconsin

Wyoming

Responsibilities:
The Payor Relations Specialist is responsible for obtaining and maintaining service authorizations from third-party payors to ensure reimbursement for services provided, before, throughout, and after a patient stay.  They will work directly with insurers, managed care organizations, and clinical staff to ensure the treatment needs of the patients are met, maximizing their overall outcomes and quality of life. 

Posted Total Compensation :
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs.  It’s not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.  A reasonable estimate of the current range is $90k - $110k

Minimum Salary:
USD $90,000.00/Yr.

Maximum Salary:
USD $(phone number removed)/Yr.

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