What are the responsibilities and job description for the Payor Relations Specialist position at Ernest Health?
Overview:
COME BUILD YOUR CAREER WITH VIBRA ERNEST HEALTH!
Our culture fosters engagement, diversity and advocacy. Our goal is to empower our employees and sup
Additional Qualifications/Skills:
Per Federal Health Care Worker Vaccine Requirements, all employees must be fully vaccinated against COVID-19 or be approved for a valid religious or medical exemption. Anyone hired by the company must provide proof of their COVID-19 vaccine before they can begin employment or request and be approved for a valid religious or medical exemption.
At Vibra Ernest Health, 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. Below is a brief summary of our benefits.
Lookout…Here We Grow Again!
COME BUILD YOUR CAREER WITH VIBRA ERNEST HEALTH!
Our culture fosters engagement, diversity and advocacy. Our goal is to empower our employees and sup
port them in their professional growth while leading them on a path to success within our organization.
We are seeking a Payor Relations Specialist to join our team!
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.
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.
Per Federal Health Care Worker Vaccine Requirements, all employees must be fully vaccinated against COVID-19 or be approved for a valid religious or medical exemption. Anyone hired by the company must provide proof of their COVID-19 vaccine before they can begin employment or request and be approved for a valid religious or medical exemption.
At Vibra Ernest Health, 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. Below is a brief summary of our benefits.
- PPO high and low deductible plans / HSA options as well
- Dental and Vision coverage
- Life insurance
- Short and Long Term Disability
- EAP
- Tuition reimbursement
- Career growth and development planning
- Clinical Career Ladder bonus opportunities
- FREE prescription plans
- PET insurance
- Group legal – provides legal assistance with personal legal matters
At Vibra Healthcare, our patients are family. Healthcare is constantly evolving, our growing organization is devoted to ensuring that each person in our care feels safe. Our world-class team of driven, passionate healthcare professionals are always focused on service excellence and providing top quality care at the bedside.
Salary : $67,200 - $85,000
RESIDENT RELATIONS ASSOCIATE
O'Connor Woods -
Stockton, CA
