Talent.com
Payor Relations Specialist
Payor Relations SpecialistErnest Health • Toledo, Ohio, United States
Payor Relations Specialist

Payor Relations Specialist

Ernest Health • Toledo, Ohio, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]
Overview

Rehabilitation Hospital has a great opportunity for 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

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.

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.

[job_alerts.create_a_job]

Payor Relations Specialist • Toledo, Ohio, United States

[internal_linking.similar_jobs]

Loan Specialist, Financial Aid Office

Owens Community CollegeToledo, OH, United States
[job_card.full_time]

Loan Specialist, Financial Aid Office.This position is responsible for loan processing through Workday, state and federal entities to ensure the efficient delivery of financial aid.Analyzes and int...[internal_linking.show_more]

 • [job_card.promoted]

Tax Planning Specialist

Hantz GroupMaumee, OH, United States
[job_card.full_time]

Hantz Group is a Michigan-based financial company that works with individuals and businesses to help them achieve their financial goals.We are a Family Office that manages over $11B+ of assets, has...[internal_linking.show_more]

 • [job_card.promoted]

Reverse Mortgage Originator Development Program

Mutual of Omaha MortgageToledo, OH, United States
[job_card.full_time]

Reverse Mortgage Loan Officer Development Program.This is a great opportunity to launch your career into the reverse mortgage industry with our 12-month development program.Come join the winning te...[internal_linking.show_more]

 • [job_card.promoted]

Patient Registration SpecialistStaffing Pool

University of ToledoToledo, OH, United States
[job_card.full_time]

Title: Patient Registration Specialist - Staffing Pool Department Org: 108820 - Registration Employee Classification: B1 - Classif'd Full Time AFSCME HSC Bargaining Unit: AFSCME HSC Primary Locatio...[internal_linking.show_more]

 • [job_card.promoted]

Accounts Payable Specialist

GenacrossToledo, OH, USA
[job_card.full_time]
[filters_job_card.quick_apply]

Genacross Lutheran Services, a faith-based nonprofit organization, for over 160 years, has provided compassionate care and support to individuals, families, and communities in need.Genacross Team M...[internal_linking.show_more]

Part Time Teller

Glass City Federal Credit UnionBowling Green, OH, USA
[job_card.part_time]
[filters_job_card.quick_apply]

Glass City Federal Credit Union is looking for a friendly, dependable, and detail‑oriented individual to join our team as a.If you enjoy helping people, have strong cash‑handling skills, and thrive...[internal_linking.show_more]

Family CFO Services Specialist (Bill Pay & Accounting)

TFO Wealth Partners LLCMaumee, OH, United States
[job_card.full_time]

Family CFO Services Specialist.TFO Wealth Partners is seeking a Family CFO Services Specialist to join our Family CFO Services Team.This role is responsible for executing bill pay transactions and ...[internal_linking.show_more]

 • [job_card.promoted]

Voya Financial Toledo OH

Voya Financial AdvisorsToledo, OH, United States
[job_card.full_time]

Financial Professional to join our team in the greater Toledo Ohio area to work plan sponsor relationships.This position will be responsible for 403(b)/457 enrollment, retirement and investment str...[internal_linking.show_more]

 • [job_card.promoted]

Direct Hire Associate Dentist Role in Findlay, Ohio

Clinical MagnetNorth Baltimore, OH, US
[job_card.permanent]

Job ID: 130452 Direct Hire Associate Dentist Role in Findlay, OhioClinical Magnet, a division of ICON Medical Network, has a need for an [internal_linking.show_more]

 • [job_card.promoted]

Contract Management - Contract Analyst

APS MedicalMaumee, OH, United States
[job_card.full_time]

Contract Management - Contract Analyst.Job Category: Contract Management.Catch underpayments and follow up with carriers to retrieve payments.Request existing contracts and fee schedules from insur...[internal_linking.show_more]

 • [job_card.promoted]

Cash Application Specialist

Software Galaxy Systems, LLCToledo, Ohio, United States
[job_card.full_time]
[filters_job_card.quick_apply]

Shift Details (Working Days and Shift Start/End Time).Hybrid position - Candidate needs to be Onsite Tuesday, Wednesday and Thursday.Client title: Cash Application Specialist.Apply customer cash pa...[internal_linking.show_more]

Licensed PT

Plymouth Physical Therapy SpecialistsMilan, MI, US
[job_card.full_time]

Join the Leaders in Orthopedic & Sports Medicine Rehabilitation.Grow your career with the best in the field! Plymouth Physical Therapy Specialists (PPTS),.Southeastern Michigan’s premier private pr...[internal_linking.show_more]

 • [job_card.promoted]

Client Solutions Manager

Slice Merchant ServicesPerrysburg, OH, US
[job_card.full_time]

Excellent opportunity to join a leading, national credit card processing company that has over a decade of industry experience.Slice Merchant Services offers innovative payment processing solutions...[internal_linking.show_more]

 • [job_card.promoted]

Surrogates Needed - $60K-$100K+ Compensation and Expert Care

The Genesis GroupBowling Green, OH, US
[job_card.full_time] +1

You have the power to make miracles for our families.If you’ve previously had a healthy pregnancy, you may qualify to help intended parents grow their family via IVF and receive $60,000-$100,000+ i...[internal_linking.show_more]

 • [job_card.promoted]

Casino Tools Reviewer

ReeledgeMilan, Michigan, United States
[job_card.full_time]

Join our distributed team and help evaluate online platforms through interactive testing assignments.This is a flexible, remote opportunity with full training provided and no prior experience requi...[internal_linking.show_more]

 • [job_card.promoted]

Billing Specialist

Objectwin Technology Inc.Toledo, Ohio, United States
[job_card.temporary]
[filters_job_card.quick_apply]

Location: Toledo, OH 43606 (Onsite).This role is supporting a project.The they get paid by pharmacy payers, these payments go into a centralized profile.The team pulls these payments and populates ...[internal_linking.show_more]

Remote Cruise + Resort Booker

Never Ending TravelsToledo, OH, US
[filters.remote]
[job_card.full_time]
[filters_job_card.quick_apply]

The world is filled with breathtaking destinations waiting to be explored, and we’re here to make those journeys extraordinary.We’re seeking passionate, self-motivated individuals to join our team ...[internal_linking.show_more]

Senior Commercial Escrow Specialist - Hybrid/Remote Eligible

Huntington National BankBowling Green, OH, United States
[filters.remote]
[job_card.full_time]

A regional financial institution seeks an Escrow Loan Closer Sr in Bowling Green, OH.This role coordinates loan closing packages for large commercial transactions and provides mentorship to staff.T...[internal_linking.show_more]