Payor Relations Specialist

Job Summary

A company is looking for a Payor Specialist.

Key Responsibilities

• Complete utilization review functions for patient admissions, including communication with payors and processing denials
• Document authorization, covered days, and denials according to payer guidelines
• Maintain positive relationships with internal and external customers to facilitate the review process

Required Qualifications

• High School Diploma or equivalent
• Two years of experience in a healthcare setting
• One year of payor relations experience
• One year of administrative/clerical experience preferred