Payor Relations Specialist

Overview:

Payor Relations Specialist - Full time Rehabilitation Hospital of Northern Arizona in Flagstaff, Arizona is a premier inpatient rehabilitation facility serving patients across the Northern Arizona region. We specialize in comprehensive rehab care for individuals recovering from strokes, traumatic brain and spinal cord injuries, major orthopedic surgeries, and other debilitating conditions. Our experienced rehab team provides intensive, customized therapy programs - including physical and occupational therapy, speech-language therapy, and specialized neurological rehabilitation - all focused on helping patients regain abilities and confidence. Nestled in Flagstaff's beautiful setting, our hospital offers a warm, healing environment with state-of-the-art equipment such as therapy gyms and even therapeutic pools. Accredited and part of a nationally acclaimed healthcare network, Rehabilitation Hospital of Northern Arizona is committed to delivering compassionate, high-quality care that helps each patient reach their optimal recovery. Flagstaff, AZ is a vibrant mountain town known for its scenic beauty, outdoor adventure, and small-town charm. Nestled at the base of the San Francisco Peaks, Flagstaff offers four-season recreation, from skiing and snowboarding in winter to hiking and mountain biking in summer. With a lively downtown area, local arts scene and close to the Grand Canyon, it's an ideal place to live, work, and explore. 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.