Payor Relations Specialist - Optimize Reimbursements & Care

Ernest Health, Inc.; Plano (TX); Vor Ort; USD 55.000 - 85.000; Vollzeit

Benefits dieser Stelle

Medical plans

Health Savings Account (HSA)

Dental

Vision

401K with employer matching

Life insurance

Disability insurance

PTO

Continuing education

Wellness program

Zusammenfassung

North Texas Rehabilitation Institute in Plano, TX is seeking a full-time Payor Relations Specialist to manage prior authorizations and payer communications, ensuring timely reimbursement and compliance. The role collaborates with insurers, managed care organizations, and clinical staff to optimize patient care while controlling costs.

RN licensure preferred and Utilization Review experience is valued. This position offers stable benefits and opportunities for professional growth within Ernest

Qualifikationen

• Current state RN license preferred.
• Two years recent experience in Utilization Review preferred.
• Or any equivalent combination of education and experience.

Aufgaben

• Obtain and maintain service authorizations from third-party payors to ensure reimbursement for services provided, before, throughout, and after a patient stay.

Kenntnisse

RN license

Utilization Review experience

Jobbeschreibung

North Texas Rehabilitation Institute in Plano, TX is seeking a full-time Payor Relations Specialist to manage prior authorizations and payer communications, ensuring timely reimbursement and compliance. The role collaborates with insurers, managed care organizations, and clinical staff to optimize patient care while controlling costs.

RN licensure preferred and Utilization Review experience is valued. This position offers stable benefits and opportunities for professional growth within Ernest