Payor Relations Specialist
A company is looking for a Payor Specialist.
Key Responsibilities
Complete utilization review functions for admitted patients, including communication with payors and processing denials
Document payor determinations, authorization details, and follow up on accounts as directed
Maintain relationships with internal and external customers to facilitate the review process and communicate workflow issues to leadership
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 or clerical experience preferred
Knowledge of third-party payers required