Payor Relations Specialist

Ernest Health, Inc.; Englewood (CO); On-site; USD 55,000 - 65,000; Full time

Benefits offered by this job

Health benefits

401K with match

Paid time off

Job summary

Ernest Health, Inc. is seeking a Payor Relations Specialist for Inverness Rehabilitation Hospital in Englewood, CO. The role focuses on obtaining and maintaining service authorizations from payors to ensure reimbursement for patient care within a 40-bed inpatient rehabilitation setting.

Required qualifications include a current state RN license (preferred) and experience in Utilization Review. Strong communication and confidentiality are essential to coordinate with insurers and clinical staff

Qualifications

• Two years recent Utilization Review experience preferred.
• Strong written and verbal communication skills.
• Ability to maintain confidentiality and manage time effectively.

Responsibilities

• Obtain and maintain service authorizations from third‑party payors to ensure reimbursement for services provided, before, during, and after a patient stay.
• Collaborate with insurers, managed care organizations, and clinical staff to align treatment with payer requirements and patient needs.

Skills

Utilization Review

Communication

Confidentiality

Time Management

Education

RN license

Job description

Overview

Payor Relations Specialist - Full time

Inverness Rehabilitation Hospital (Englewood, CO)

is a 40-bed inpatient rehabilitation facility located in Englewood, Colorado, serving patients throughout the south Denver metropolitan area. The hospital provides comprehensive rehabilitation services for individuals recovering from stroke, brain injury, spinal cord injury, orthopedic conditions, and other complex medical needs requiring intensive therapy. With an interdisciplinary care model and a strong focus on individualized recovery goals, the clinical team works closely with patients and families to promote functional independence and successful transitions home. Located near the Denver Tech Center and the broader South Denver healthcare market, the Inverness facility offers convenient access to specialized rehabilitation care in a growing Colorado community.

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

As a participating hospital of Ernest Health, we offer robust recognition, wellness, and retention programs. These programs focus to enhance the employees’ work experience, recognize, and celebrate achievements. We also encourage employees to share their work experience through “My Ernest Journey” and through our Engagement Survey, where our approach is “You Spoke, We Listened”. These platforms provide additional avenues for employees to give feedback about their work experience and share what is important to them.

Our hospital offers comprehensive benefits, designed to support your health and financial well-being.

Benefits:

• PPO and High Deductible Medical Plan options
• Flexible Spending and Health Savings Account options available
• Dental and Vision coverage
• 401K with employer matching
• Life insurance
• Short-and-long term disability

Wellness & Work Life Balance:

• Employee Assistance Program
• Wellness Program with quarterly wellness challenges with participation incentives
• Earned Time Off - start accruing vacation time on start date

Professional Growth:

• Continuing education opportunities and reimbursement

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.

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 $

Minimum Salary

USD $39.75/Hr.

Maximum Salary

USD $47.50/Hr.