Payor Relations Specialist Full Time

Payor Relations Specialist Full Time Ernest Health - 4.1 Lubbock, TX Job Details Full-time 1 day ago Benefits Wellness program Health savings account Disability insurance Health insurance Dental insurance Employee assistance program Vision insurance 401(k) matching Life insurance Qualifications Record keeping Computer operation Insurance prior authorization Utilization review RN License Word processing Maintaining patient confidentiality Regulatory compliance Infection control Mid-level Utilization management Data entry Communication skills Time management

Full Job Description Overview:

Join our Team!!! Trustpoint Rehabilitation Hospital is a premier inpatient facility specializing in the treatment of stroke, brain and spinal cord injuries, orthopedic trauma, and other complex medical conditions. We are proud to be one of the few rehabilitation hospitals in the region that also provides care for pediatric patients, offering specialized services tailored to the unique needs of children and their families. Our mission is to provide compassionate, individualized care that empowers patients—of all ages—to regain independence and achieve their best outcomes. About Trustpoint Rehabilitation Hospital of Lubbock Located at 4302 Princeton Street in Lubbock, TX, Trustpoint is a 93-bed inpatient rehabilitation hospital specializing in adult and pediatric care. We are proud to be ranked in the Top 10% nationally for rehabilitative care and have earned The Joint Commission's Brain Injury, Stroke, and Spinal Cord Rehabilitation Certification. In 2024, Newsweek recognized us among America's Best Physical Rehabilitation Centers, highlighting our commitment to excellence in patient care. 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.