Payor Relations Specialist
Ernest Health, Inc., Rancho Mirage, CA, United States
Payor Relations Specialist - Full Time - Rancho Mirage, California
Registered Nurse preferred.
Overview Join our world-class team of driven, passionate healthcare professionals who are focused on service excellence and providing top quality care!
Rehabilitation Hospital of Southern California, located in Rancho Mirage, CA, is a premier inpatient rehab facility serving patients throughout the Coachella Valley and Southern California region. We provide intensive rehabilitative care for individuals recovering from strokes, brain and spinal cord injuries, orthopedic surgeries, and other serious conditions.
Our experienced rehabilitation team delivers comprehensive therapies – from advanced physical and occupational therapy to specialized neurological rehabilitation – all in a warm, supportive environment. The hospital features state‑of‑the‑art equipment and individualized care plans to help patients reach their recovery goals.
Accredited by The Joint Commission, the Rehabilitation Hospital of Southern California is committed to exceptional patient outcomes and compassionate 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
401 K 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
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 skillsAbility 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.
Posted Total Compensation The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs. It’s not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is:
Minimum Salary: USD 34.10/hour
Maximum Salary: USD 50.00/hour
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Overview Join our world-class team of driven, passionate healthcare professionals who are focused on service excellence and providing top quality care!
Rehabilitation Hospital of Southern California, located in Rancho Mirage, CA, is a premier inpatient rehab facility serving patients throughout the Coachella Valley and Southern California region. We provide intensive rehabilitative care for individuals recovering from strokes, brain and spinal cord injuries, orthopedic surgeries, and other serious conditions.
Our experienced rehabilitation team delivers comprehensive therapies – from advanced physical and occupational therapy to specialized neurological rehabilitation – all in a warm, supportive environment. The hospital features state‑of‑the‑art equipment and individualized care plans to help patients reach their recovery goals.
Accredited by The Joint Commission, the Rehabilitation Hospital of Southern California is committed to exceptional patient outcomes and compassionate 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
401 K 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
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 skillsAbility 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.
Posted Total Compensation The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs. It’s not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is:
Minimum Salary: USD 34.10/hour
Maximum Salary: USD 50.00/hour
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