Payor Relations Specialist Full Time en Ernest Health

Payor Relations Specialist - Full Time

Laredo Rehabilitation Hospital in Laredo, Texas is a full-service inpatient rehabilitation hospital committed to helping patients in South Texas recover and thrive after serious injuries or illnesses. Our hospital provides intensive rehabilitation programs for stroke patients, brain and spinal cord injuries, orthopedic injuries, and other complex conditions, all under the guidance of our skilled multidisciplinary team.

We pride ourselves on offering personalized care – our physical, occupational, and speech therapists tailor each treatment plan to the patient’s unique needs and cultural background, reflecting the community we serve. With modern facilities and a caring bilingual staff, we ensure patients, and their families feel supported and informed throughout the recovery journey.

Accredited by The Joint Commission and consistently rated among top rehab providers, Laredo Rehabilitation Hospital is dedicated to restoring independence and improving quality of life for our patients.

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

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.

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.