Payor Relations Specialist - Reimbursement & Authorization

Ernest Health, Inc.; Toledo (OH); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical plan

Health savings account

Dental coverage

Vision coverage

401(k) with employer matching

Life insurance

Disability insurance

Wellness program

Job summary

Rehabilitation Hospital of Northwest Ohio in Toledo, OH is seeking a Payor Relations Specialist to join our patient‑centered team. The role focuses on obtaining and maintaining service authorizations from third‑party payors to ensure reimbursement before, during, and after patient stays.

Ideal candidates may hold an RN license, with experience in utilization review, and possess strong written and verbal communication skills.

Qualifications

• Current state RN license preferred.
• Two years recent Utilization Review experience preferred.
• Equivalent combination of education and experience acceptable.

Responsibilities

• Obtain and maintain service authorizations from third‑party payors.
• Coordinate with insurers and clinical staff to ensure patient needs are met and reimbursement is secured.
• Maintain compliance with relevant standards and documentation.

Skills

RN license

Utilization Review

Communication skills

Job description

Rehabilitation Hospital of Northwest Ohio in Toledo, OH is seeking a Payor Relations Specialist to join our patient‑centered team. The role focuses on obtaining and maintaining service authorizations from third‑party payors to ensure reimbursement before, during, and after patient stays.

Ideal candidates may hold an RN license, with experience in utilization review, and possess strong written and verbal communication skills.