Payor Relations Specialist: Reimbursement & Authorizations

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

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